Pathological prognostic factors in a series of 137 stage I TNM/UICC endometrial carcinomas

We report on the long-term results of combination surgery-radiotherapy in cT1 carcinoma of the endometrium according to prognostic factors. From 1974 to 1993, 130 women suffering from cT1Nx-O Mo endometrial carcinoma, underwent surgical resection. The median age was 62 years. Thirteen received pre-o...

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Bibliographic Details
Published in:Radiotherapy and oncology 1999-12, Vol.53 (3), p.209-211
Main Authors: Bolla, M, de Cornulier, J, Berland, E, Colonna, M, Artignan, X, Pasquier, D, Salvat, J, Chirpaz, E, Garnier, C
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Brachytherapy
Carcinoma - pathology
Carcinoma - radiotherapy
Carcinoma - secondary
Carcinoma - surgery
Endometrial Neoplasms - pathology
Endometrial Neoplasms - radiotherapy
Endometrial Neoplasms - surgery
Female
Follow-Up Studies
Humans
Longitudinal Studies
Lymph Nodes - pathology
Lymphatic Metastasis - pathology
Middle Aged
Multivariate Analysis
Myometrium - pathology
Neoadjuvant Therapy
Neoplasm Invasiveness
Neoplasm Staging
Pelvis
Prognosis
Survival Rate
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Summary:We report on the long-term results of combination surgery-radiotherapy in cT1 carcinoma of the endometrium according to prognostic factors. From 1974 to 1993, 130 women suffering from cT1Nx-O Mo endometrial carcinoma, underwent surgical resection. The median age was 62 years. Thirteen received pre-operative irradiation, two pre-operative brachytherapy followed by post-operative external irradiation and 115 patients (88.35%) underwent post-operative irradiation therapy by brachytherapy or external beam irradiation. The median follow-up is 67 months. Overall and specific survival rates for patients with cT1pT1 tumours were 71.1 and 85% at 10 years. For overall survival, lymph node invasion was the most powerful prognostic factor in the multivariate analysis (P = 0.02). If lymph node invasion is not taken into account, the WHO histological grade exerts a significant prognostic impact (P = 0.001). For stage cT1 endometrial carcinoma, primary surgery allows radiotherapy to be adjusted according to the WHO histological grade, myometrial invasion and the pelvic lymph node status.
ISSN:0167-8140
DOI:10.1016/S0167-8140(99)00155-3