Management of early stage endometrial papillary adenocarcinoma.
This retrospective study examined the outcome in 42 women with early stage (FIGO I/II) endometrial adenocarcinoma (papillary, n = 22 and nonpapillary, n = 20). In patients with papillary carcinoma, median survival was longer when surgery and/or radiotherapy was applied (18 to 36 months) than when such treatment was not used or systemic progestational therapy was employed (6 to 9 months). Among those evaluable women, the 5-year survival rate was significantly (p = 0.01) better in the nonpapillary than the papillary type adenocarcinoma, 45% (9/20) versus 6% (1/16) respectively. However, abdominal failure and distant metastasis rates in papillary carcinoma were 5% while local recurrence and distant metastasis rates in the nonpapillary variety were correspondingly 20% and 15%.
Ampil
F
F
Dept of Radiology, LSUMC Shreveport 71130.
Ridenour
C
C
Abreo
F
F
D000231:Adenocarcinoma, Papillary / Q000473:pathology / Q000628:therapy*; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate; D014594:Uterine Neoplasms / Q000473:pathology / Q000628:therapy*