https://scholars.lib.ntu.edu.tw/handle/123456789/452580
標題: | Synchronous primary carcinomas of the endometrium and ovary | 作者: | BOR-CHING SHEU HO-HSIUNG LIN Chen C.-K. KUANG-HAN CHAO CHIA-TUNG SHUN Huang S.-C. |
公開日期: | 1995 | 卷: | 51 | 期: | 2 | 起(迄)頁: | 141-146 | 來源出版物: | International Journal of Gynecology and Obstetrics | 摘要: | Objectives: Synchronous carcinomas of the endometrium and ovary may indicate either independently developing neoplasms or metastatic disease. The clinical implications and prognosis of these two categories are quite different. The objectives of this study were to identify and evaluate the empirical criteria and significant therapeutic implications. Method: The National Taiwan University Hospital Cancer Registry records and pathological reports from 1977 to 1994 were reviewed. Empirical criteria were used to identify synchronous primary cancers. Results: A total of 322 patients had endometrial cancer and 421 patients had ovarian cancer in our Cancer Registry records. Eleven patients had simultaneous cancer involvement of both the endometrium and ovary. Six cases fulfilled the criteria of synchronous primary carcinomas of the endometrium and ovary. Of these, five were alive and free of disease for 35-144 months (median 94.2 months). The disease-free survival rates between patients with synchronous primary and metastatic cancers of different histologic types showed a statistically significant difference (P = 0.013). No statistical significance was noted for different histologic types (P > 0.5). Conclusions: The empirical criteria used here were useful in identifying synchronous primary cancers of the endometrium and ovary. The favorable clinical outcome may relate to early detection of early-stage disease and low-grade malignancy with an indolent growth rate. Surgical management with or without adjuvant therapy has a satisfactory outcome in our experience. ? 1995. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028786892&doi=10.1016%2f0020-7292%2895%2902514-D&partnerID=40&md5=0ea4e0eca556ab27318fc84372a52e60 https://scholars.lib.ntu.edu.tw/handle/123456789/452580 |
DOI: | 10.1016/0020-7292(95)02514-D | SDG/關鍵字: | adult; article; cancer registry; cancer surgery; cancer survival; early diagnosis; endometrium carcinoma; female; histology; human; major clinical study; medical record; metastasis; ovary carcinoma; priority journal; prognosis; statistical analysis; survival rate; taiwan; treatment outcome; university hospital; Adult; Carcinoma; Combined Modality Therapy; Endometrial Neoplasms; Female; Follow-Up Studies; Human; Middle Age; Neoplasm Staging; Neoplasms, Multiple Primary; Ovarian Neoplasms; Retrospective Studies; Survival Rate; Treatment Outcome |
顯示於: | 醫學系 |
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