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307101

CLINICO-EPIDEMIOLOGICAL FEATURES OF PATIENTS WITH ENDOMETRIAL CARCINOMA IN CLINICAL ONCOLOGY DEPARTMENT IN AIN SHAMS UNIVERSITY HOSPITALS IN EGYPT

Article

Last updated: 26 Dec 2024

Subjects

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Tags

CLINICAL ONCOLOGY AND NUCLEAR MEDICINE

Abstract

Background: Endometrial carcinoma (EC) is the most common gynaecological malignancy in high-income countries. Several studies have demonstrated the prognostic importance of different parameters including the histological subtypes, grade, stage, depth of myometrial invasion, lymphovascular space involvement, positive peritoneal cytology and cervical involvement. Aim of the Work: To analyse retrospectively epidemiological, clinicopathological features, treatment strategies and survival outcomes of patients diagnosed with EC. Patients and Methods: This is a retrospective study that included 65 patients diagnosed with EC attending the gastrointestinal and gynecological malignancies clinic at the Clinical Oncology Department, Ain Shams University, in the period from January 2017 to December 2020. Results: The mean age at diagnosis was 61 years, most of the patients 90.8% were postmenopausal and the mean BMI was 38.7 kg/m2. The 5-year overall survival (OS) was 83%, with a mean of 57.8 months, and the 5-year disease free survival was 79% with a mean of 49 months. Among the prognostic factors that were analyzed, only FIGO stage and depth of myometrial invasion showed statistically significant impact on survival. The 5-year OS was 100% for stage IA, 81% for stage IB, 88.9% for stage II, 83% for stage IIIA, 66.7% for stage IIIB and none of those with stage IIIC survived till the end of our study (p<0.001). The 5-year OS for those with myometrial invasion <50% was 100% while those with myometrial invasion ≥50% was 76% (p=0.025). Conclusion: We conclude that the FIGO stage and depth of myometrial invasion are the most significant prognostic factors and strong predictors of survival.

DOI

10.21608/asmj.2023.307101

Keywords

Endometrial carcinoma, FIGO stage, Myometrial invasion, Survival

Authors

First Name

Mirna

Last Name

Abouelella

MiddleName

Ahmed

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

merna.khairy@gmail.com

City

-

Orcid

-

First Name

Khalid

Last Name

Nasr

MiddleName

El-Husseiny

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

khaliden69@hotmail.com

City

-

Orcid

-

First Name

Amr

Last Name

Saad

MiddleName

S.

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

docshak76@gmail.com

City

-

Orcid

-

First Name

Nesreen

Last Name

Mosalam

MiddleName

Ahmed

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

dr.nesreen2000@gmail.com

City

-

Orcid

-

First Name

Hagar

Last Name

Elghazawy

MiddleName

-

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

dr.hagar.elghazawy@med.asu.edu.eg

City

-

Orcid

-

First Name

Lamiaa

Last Name

Ahmed

MiddleName

Moustafa

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Ain Shams University.

Email

lamiaa.ahmed@med.asu.edu.eg

City

-

Orcid

-

Volume

74

Article Issue

2

Related Issue

42353

Issue Date

2023-06-01

Receive Date

2023-07-10

Publish Date

2023-06-01

Page Start

389

Page End

403

Print ISSN

0002-2144

Online ISSN

2735-3540

Link

https://asmj.journals.ekb.eg/article_307101.html

Detail API

https://asmj.journals.ekb.eg/service?article_code=307101

Order

307,101

Type

Original Article

Type Code

1,311

Publication Type

Journal

Publication Title

Ain Shams Medical Journal

Publication Link

https://asmj.journals.ekb.eg/

MainTitle

CLINICO-EPIDEMIOLOGICAL FEATURES OF PATIENTS WITH ENDOMETRIAL CARCINOMA IN CLINICAL ONCOLOGY DEPARTMENT IN AIN SHAMS UNIVERSITY HOSPITALS IN EGYPT

Details

Type

Article

Created At

26 Dec 2024