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[Non endometroid endometrial cancer guidelines evaluation: A multicentric retrospective study].
- Source :
-
Bulletin du cancer [Bull Cancer] 2020 Dec; Vol. 107 (12), pp. 1221-1232. Date of Electronic Publication: 2020 Oct 06. - Publication Year :
- 2020
-
Abstract
- Introduction: Non endometrioid endometrial cancer are infrequent and have poor prognosis. The aim of the study was to evaluate non endometrioid endometrial cancer managment by evaluating endometrial cancer guidelines application.<br />Material and Methods: This multicentric retrospective study enrolled non endometrioid endometrial cancer between January 2009 to December 2019. Analyses adapted at last French guidelines applicated corresponding of year management.<br />Results: Seventy-four non endometrioid endometrial cancer analysed in 10 centers: 34 carcinosarcoma (45,9 %), 29 serous carcinoma (39,2 %), 9 clear cells carcinoma (12,2 %) and 2 undifferentiated carcinoma (2,7 %). For initial management, endometrial cancer guidelines applicated to 45,9 %. First reason of initial guidelines « non-application » was lack of surgical lymph node stadification (57,1 %). For adjuvant management, endometrial cancer guidelines applicated to 38.7 %. First reason of adjuvant guidelines « non-application » was lack lymph node stadification to complete staging when it previously incompletly operated (67,6 %).<br />Discussion: Non endometrioid endometrial cancer guidelines applicability is difficult. This explicated by high age and comorbidity when surgical lymph node stadification is necessary. Using new staging technic will allow target management and better select lymph node staging indication.<br /> (Copyright © 2020 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)
- Subjects :
- Aged
Aged, 80 and over
Female
France
Humans
Metrorrhagia etiology
Middle Aged
Neoplasm Seeding
Practice Guidelines as Topic
Prognosis
Retrospective Studies
Adenocarcinoma, Clear Cell complications
Adenocarcinoma, Clear Cell diagnosis
Adenocarcinoma, Clear Cell pathology
Adenocarcinoma, Clear Cell therapy
Carcinosarcoma complications
Carcinosarcoma diagnosis
Carcinosarcoma pathology
Carcinosarcoma therapy
Cystadenocarcinoma, Serous complications
Cystadenocarcinoma, Serous diagnosis
Cystadenocarcinoma, Serous pathology
Cystadenocarcinoma, Serous therapy
Endometrial Neoplasms complications
Endometrial Neoplasms diagnosis
Endometrial Neoplasms pathology
Endometrial Neoplasms therapy
Guideline Adherence
Subjects
Details
- Language :
- French
- ISSN :
- 1769-6917
- Volume :
- 107
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Bulletin du cancer
- Publication Type :
- Academic Journal
- Accession number :
- 33036741
- Full Text :
- https://doi.org/10.1016/j.bulcan.2020.08.006