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Uterine papillary serous carcinoma: study of 19 cases

Objective: Uterine papillary serous carcinoma (UPSC) is an uncommon highly malignant variant of endometrial carcinoma that histologically and clinically resembles ovarian papillary serous carcinoma. The purpose of this study was to present the conjoined experience of two regional hospitals in the so...

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Published in:European journal of obstetrics & gynecology and reproductive biology 1998-07, Vol.79 (1), p.69-73
Main Authors: Piura, Benjamin, Meirovitz, Mihai, Shmulman, Michael, Yanai-Inbar, Ilana, Cohen, Yoram, Dgani, Ram
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container_title European journal of obstetrics & gynecology and reproductive biology
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creator Piura, Benjamin
Meirovitz, Mihai
Shmulman, Michael
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Cohen, Yoram
Dgani, Ram
description Objective: Uterine papillary serous carcinoma (UPSC) is an uncommon highly malignant variant of endometrial carcinoma that histologically and clinically resembles ovarian papillary serous carcinoma. The purpose of this study was to present the conjoined experience of two regional hospitals in the south of Israel (Soroka Medical Center, Beer-Sheva and Kaplan Hospital, Rehovot) of handling this tumour. Study Design: Data from the files of 19 patients with UPSC who were managed at these hospitals between July 1991 and June 1997 were evaluated. Results: The three-year survival rate was 57.3% overall; 83.3% for Stage I and 21.2% for Stages II, III, and IV combined ( P
doi_str_mv 10.1016/S0301-2115(98)00039-6
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The purpose of this study was to present the conjoined experience of two regional hospitals in the south of Israel (Soroka Medical Center, Beer-Sheva and Kaplan Hospital, Rehovot) of handling this tumour. Study Design: Data from the files of 19 patients with UPSC who were managed at these hospitals between July 1991 and June 1997 were evaluated. Results: The three-year survival rate was 57.3% overall; 83.3% for Stage I and 21.2% for Stages II, III, and IV combined ( P&lt;0.02). Eighteen patients had primary surgery which included total abdominal hysterectomy and bilateral salpingo-oophorectomy and 15 (83.3%) of them received postoperative adjuvant therapy which included radiotherapy and/or systemic chemotherapy. Conclusions: The prognosis of patients with UPSC is worse than that of patients with other forms of endometrial carcinoma. Primary surgery comprised of total abdominal hysterectomy, bilateral salpingo-oophorectomy and staging is the mainstay of treatment. The type of postoperative treatment is not consistent. By and large, adjuvant pelvic radiotherapy is usually given in early-stage disease and adjuvant systemic chemotherapy is usually prescribed in advanced-stage disease.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/S0301-2115(98)00039-6</identifier><identifier>PMID: 9643407</identifier><identifier>CODEN: EOGRAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adjuvant therapy ; Adult ; Aged ; Aged, 80 and over ; Animals ; Biological and medical sciences ; Combined Modality Therapy ; Cystadenocarcinoma, Papillary - diagnosis ; Cystadenocarcinoma, Papillary - therapy ; Endometrial carcinoma ; Ethnic Groups ; Female ; Follow-Up Studies ; Humans ; Logistic Models ; Medical sciences ; Middle Aged ; Papillary serous carcinoma ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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The type of postoperative treatment is not consistent. By and large, adjuvant pelvic radiotherapy is usually given in early-stage disease and adjuvant systemic chemotherapy is usually prescribed in advanced-stage disease.</description><subject>Adjuvant therapy</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Cystadenocarcinoma, Papillary - diagnosis</subject><subject>Cystadenocarcinoma, Papillary - therapy</subject><subject>Endometrial carcinoma</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Papillary serous carcinoma</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Adjuvant therapy
Adult
Aged
Aged, 80 and over
Animals
Biological and medical sciences
Combined Modality Therapy
Cystadenocarcinoma, Papillary - diagnosis
Cystadenocarcinoma, Papillary - therapy
Endometrial carcinoma
Ethnic Groups
Female
Follow-Up Studies
Humans
Logistic Models
Medical sciences
Middle Aged
Papillary serous carcinoma
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Surgical stage
Survival Rate
Tropical medicine
Uterine Neoplasms - diagnosis
Uterine Neoplasms - therapy
title Uterine papillary serous carcinoma: study of 19 cases
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