@article{article_472549, title={YÜKSEK RİSKLİ VE DÜŞÜK RİSKLİ ENDOMETRİUM KANSERLERİ HASTALARDA İLERİ YAŞ KÖTÜ PROGNOSTİK BİR FAKTÖR MÜDÜR? Is Advanced Age a Poor Prognostic Factor In High Risk and Low Risk Endometrial Cancer Patients?}, journal={Bozok Tıp Dergisi}, volume={8}, pages={99–108}, year={2018}, DOI={10.16919/bozoktip.373914}, author={Gökçü, Mehmet and Erkılınç, Selçuk and Solmaz, Ulaş and Bağcı, Mustafa and Temel, Orhan and Karadeniz, Tuğba and Sancı, Muzaffer}, keywords={YÜKSEK RİSKLİ VE DÜŞÜK RİSKLİ ENDOMETRİUM KANSERLERİ HASTALARDA İLERİ YAŞ KÖTÜ PROGNOSTİK BİR FAKTÖR MÜDÜR? Is Advanced Age a Poor Prognostic Factor In High Risk and Low Risk Endometrial Cancer Patients?}, abstract={<div>Amaç: Yüksek riskli ve düşük riskli endometrium kanserinde ileri yaşın sağkalım üzerine etkisini </div> <div>araştırmak </div> <div>Metod: 1995-2015 yılları arasında düşük riskli 759, yüksek riskli 139 endometrium kanseri hastası </div> <div>çalışmaya dahil edildi. Demografik veriler, cerrahi tedavi verileri retrospektif olarak değerlendirildi. </div> <div>Yaşın sağkalım üzerine etkisinin araştırılması için Univariate ve multivariate regresyon </div> <div>analizi yapıldı. </div> <div>Bulgular: Düşük riskli ve yaşlı hastalarda genç hastalarla karşılaştırıldığında dış myometrial invazyon, </div> <div>radyoterapi, lefovasküler invazyon anlamlı olarak daha fazlaydı. Yüksek riskli yaşlı hastlarada </div> <div>sadece radyoterapi oranı yüksek bulundu. Yüksek riskli düşük riskli hastalarda ileri yaş total </div> <div>sağkalım için bağımsız bir risk faktörü olarak bulundu </div> <div>Sonuç: Hem yüksek riskli hem de düşük riskli endometrium kanserli hastalarda ileri yaş olumsuz </div> <div>prognostik bir faktör olarak bulunmuştur </div> <div>Anahtar Sözcu¨kler: Endometrium kanseri; Düşük risk; Yüksek risk; İleri yaş </div> <div>ABSTRACT </div> <div>Objective: To evaluate the effect of advanced age on high risk and low endometrial cancer </div> <div>patients. </div> <div>Methods: A total of 759 patients with type I endometrial cancer and 139 patients with type II </div> <div>endometrial cancer between January 1995 to December 2015 were included to the study. High </div> <div>risk and low risk patients were devided into two groups according to age. Demographic data, </div> <div>surgical treatment, adjuvant treatment and survival characteristics were compared between </div> <div>age groups in high risk and low risk patients. To detect the independent hazard of the variables </div> <div>on survival univariate and multivariate Cox regression analysis was performed. </div> <div>Results: Outer ½ myometrial invasion, adjuvant radiotherapy, LVSI, tumor diameter were </div> <div>significantly higher in advanced age groups in low risk patients. Admission of adjuvant </div> <div>radiotherapy was the only parameter that differed between older and younger age groups in </div> <div>high risk patients. Both disease free survival and overall survival were higher in younger low </div> <div>risk patients. Overall survival was longer in high risk and younger age patients, but disesase </div> <div>free survival was similar. Multivariate Cox-regression analysis revealed that advanced age was </div> <div>a significant independent hazard for overall survival both in high risk and low risk endometrial </div> <div>cancer patients (HR:1.94, 95% CI:1,0-3,4). </div> <div>Conclusion: Our study suggested that advanced age was a poor prognostic factor both for low </div> <div>risk and high risk endometrial cancer patients. </div> <div>Keywords: Endometrial cancer; High risk; Low risk; Advanced age </div>}, number={3}, publisher={Yozgat Bozok University}