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Gücer, F; Reich, O; Tamussino, K; Bader, AA; Pieber, D; Schöll, W; Haas, J; Petru, E.
Concomitant endometrial hyperplasia in patients with endometrial carcinoma.
Gynecol Oncol. 1998; 69(1):64-68 Doi: 10.1006/gyno.1997.4911
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Co-authors Med Uni Graz
Bader Arnim
Haas Josef
Petru Edgar
Pieber Doris
Reich Olaf
Schöll Wolfgang
Tamussino Karl
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Abstract:
OBJECTIVES: The aim of this study was to compare the histopathologic features and prognosis of patients with endometrial carcinoma with and without concomitant hyperplasia. METHODS: Histologic slides of the surgical specimens of 214 consecutive patients who underwent surgery as primary treatment for endometrial carcinoma from 1985 through 1991 were reviewed. RESULTS: Ninety-two of the 214 patients (43%) with endometrial carcinoma had concomitant endometrial hyperplasia. Patients with endometrial carcinoma with hyperplasia were significantly younger than those without hyperplasia (mean age 62 +/- 10 vs 65 +/- 9 years, P < 0.05). Carcinomas associated with hyperplasia were better differentiated and of lower surgical stage. By univariate analysis the frequency of recurrence was significantly lower (4% vs 17%, P < 0.004) and the estimated 5-year survival rate significantly higher (96% vs 85%, P < 0.01) in patients with endometrial carcinoma with concomitant hyperplasia. However, in multivariate analysis the presence of endometrial hyperplasia was not an independent prognostic factor and the 5-year survival rates of patients with or without hyperplasia did not differ significantly in any surgical stage. CONCLUSION: The presence or absence of concomitant endometrial hyperplasia is strongly correlated with the surgical stage of endometrial carcinoma.
Find related publications in this database (using NLM MeSH Indexing)
Adenocarcinoma - pathology
Adenocarcinoma, Clear Cell - pathology
Age Factors - pathology
Aged - pathology
Carcinoma, Adenosquamous - pathology
Cystadenocarcinoma, Papillary - pathology
Endometrial Hyperplasia - pathology
Endometrial Neoplasms - pathology
Female - pathology
Humans - pathology
Metaplasia - pathology
Middle Aged - pathology
Neoplasm Staging - pathology
Prognosis - pathology
Recurrence - pathology
Retrospective Studies - pathology
Survival Analysis - pathology

Find related publications in this database (Keywords)
Endometrial Carcinoma
Hyperplasia
Prognosis
Surgical Stage
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