SURVIVAL RESULTS OF PATIENTS WITH HIGH-GRADE AND ADVANCED-STAGE ENDOMETRIAL CANCER

Yıl 2016, Cilt: 19 Sayı: 4, 139 - 144, 22.05.2018

Alpaslan Kaban Samet Topuz Hamdullah Sözen Yavuz Salihoglu

Öz

Purpose: To evaluate the overall survival and disease-free survival in patients with advanced-stage(FIGO III-IV) and high-grade endometrium

cancer

Patients and Methods: Patients with operated due to endometrial cancer between 2003-2014 and detected FIGO-stage III-IV serous, clearcell,

carcinosarcoma, mixed, grade 3 endometrioid, and undifferentiated histological types according to postoperative pathology report

were selected for the study. Overall survival and disease-free survival times were calculated by Kaplan-Meier survival analysis for each histologic

type.

Results: A total of 85 patients with a median-age of 65(37-86) were included in the study. Of them, 56(65.9%) were stage-III and 29(34.1%)

were stage-IV. The most common histological-type was carcinosarcoma(25.9%, n=22) followed by mixed(22.4%,n=19), serous(17.6%,n=18),

grade 3 endometrioid(17.6% cell (8.2%,n=7) and undifferentiated(4.7%,n=4). During a mean follow-up of 37.1 months(1-148), 63 patients(

74.1%) had recurrence and 60 patients(70.6%) died. The overall survival rate was 29.4%. The highest survival rates were mixed type and

grade 3 endometrioid types(42.1% and 40%) followed by serous(33.3%) and clear-cell(28.6%) and carcinosarcoma(13.6%) and no survival in

undifferentiated type. Median disease-free survival and overall survival were 24 and 49 months for serous type, 28 and 34 months for grade

3 endometrioid type, 15 and 27 months for mixed type, 9 and 18 months for clear cell, 10 and 21 months for carcinosarcoma, 3 and 4 months

for the undifferentiated type

Conclusion: The median disease-free and overall survival of patients were 12 and 28 months, respectively, according to the data of this

study. 74.1% of the patients relapse. The worst prognosis is with undifferentiated types. The prognosis for Grade-3 endometrioid and

mixedtypes seems to be relatively better.

Anahtar Kelimeler

serous, clear cell, carcinosarcoma, mixed, grade 3 endometrioid and undifferentiated

İLERİ EVRE YÜKSEK GRADE ENDOMETRİUM KANSERLİ HASTALARDA SAĞKALIM SONUÇLARI

Öz

Öz

Amaç: İleri evre (FIGO III-IV) yüksek gradeli endometrium kanserli hastaların genel sağkalım ve hastalıksız sağkalımlarını değerlendirmek

Metod: 2003-2014 yılları arasında endometrial kanser nedeniyle opere edilen ve patoloji raporuna göre evre III-IV seröz, berrak hücreli,

karsinosarkom, mikst(endometrioid+no-endometrioid), grade 3 endometrioid ve undiferansiye histolojik tiplere sahip hastalar çalışma için

seçildi. Herbir histolojik tip için Kaplan-Meier sağkalım analizi ile genel sağkalım ve hastalıksız sağkalım süreleri hesaplandı. 

Bulgular: Çalışmaya medyan yaşı 65 (37-86) olan toplam 85 hasta alındı. 56 hasta (%65.9) evre III, 29 hasta (%34.1) evre IV idi. En sık görülen

histolojik tip karsinosarkom (%25.9;n=22), ardından sırayla mixed (%22.4; n=19), serous (%17.6;n=18), grade 3 endometrioid (%17.6;n=15),

berrak hücreli (%8.2;n=7) ve undiferansiye (%4.7; n=4) idi. Ortalama 37.1 aylık (1-148) bir takip süresi boyunca 63 hastada (%74.1) nüks görülmüş,

60 hasta (%70.6) ölmüştü. Genel sağkalım oranı %29.4 idi. En yüksek sağkalım oranları mikst tip ve grade 3 endometrioid tipte (42.1% ve %40)

görüldü, ardından sırayla seröz (%33.3) ve berrak hücreli (%28.6) ve karsinosarkomda (%13.6) idi, undiferansiye tipte sağkalım yoktu (% 0.0). Kaplan-Meier

sağkalım analizine göre, median hastalıksız sağkalım ve genel sağkalım süreleri seröz tip için 24 ve 49 ay, grade 3 endometrioid tip için 28 ve 34 ay, mikst tip

için 15 ve 27 ay, karsinosarkom için 10 ve 21 ay, berrak hücreli için 9 ve 18 ay, undiferansiye tip için 3 ve 4 ay hesaplandı.

Sonuç: İleri evrede tespit edilmiş yüksek gradeli endometrial kanserli hastaların medyan hastalıksız ve genel sağkalım süreleri, bu çalışmanın

verilerine göre 12 ve 28 aydır. Hastaların % 74.1’i nüksetmektedir. En kötü prognoz undiferansiye tiplerdedir. Grade3 endometrioid ve

mikst tiplerde prognoz nispeten daha iyi görünmektedir.

Anahtar Kelimeler

seröz, berrak hücreli, karsinosarkom, mikst, grade 3 endometrioid ve undiferansiye

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