title: Endometrial cancer in elderly women: Which disease, which surgical management? A systematic review of the literature.
abstract: OBJECTIVE
  Endometrial cancer primarily affects elderly women. The aim of the present literature review is to define the population of elderly women with this disease and to define the characteristics of this cancer in elderly people as well as its surgical treatment.
  
  
  METHODS
  A systematic review of the English-language literature of the last 20 years indexed in the PubMed database.
  
  
  RESULTS
  Endometrial cancer is more aggressive in elderly women. However, surgical staging performed in elderly patients is often not concomitant with the disease's aggressiveness in this group. Mini-invasive surgery is performed less often, for no obvious reason. Of note, oncogeriatric evaluation was not usually ruled out to determine the most appropriate surgical modality.
  
  
  CONCLUSIONS
  Studies are needed to evaluate surgical management of endometrial cancer in elderly women, notably with the aid of oncogeriatric scores to predict surgical morbidity.
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Bourgin
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France.
authors.forename: M
authors.initials: M
authors.lastname: Saidani
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Poupon
authors.affiliation: University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; Rennes University Hospital, Department of Pathology, Pontchaillou, 35000 Rennes, France.
authors.forename: A
authors.initials: A
authors.lastname: Cauchois
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France.
authors.forename: F
authors.initials: F
authors.lastname: Foucher
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; INSERM ER440, Oncogenesis, Stress and Signaling (OSS), Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Leveque
authors.affiliation: Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; INSERM ER440, Oncogenesis, Stress and Signaling (OSS), Rennes, France. Electronic address: Vincent.lavoue@chu-rennes.fr.
authors.forename: V
authors.initials: V
authors.lastname: Lavoue
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D063646:Carcinogenesis / Q000473:pathology; D002277:Carcinoma / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology*; D011379:Prognosis; D065287:Robotic Surgical Procedures; D015996:Survival Rate
keywords: Elderly women; Endometrial cancer; Oncogeriatric scores; Surgical approach