Aim <p>We aimed to compare overall survival (OS) and progression-free survival (PFS) between patients treated with laparoscopy and laparotomy for endometrioid endometrial cancer (EEC) with cervical involvement.</p> Methods <p>A total of 41 patients with EEC with cervical involvement were included in the study. The exclusion criteria were non-endometriod type endometrial cancer in the postoperative pathology report results, synchronous tumor or stage I endometrial cancer. Additionally, stage III and stage IV patients without cervical involvement were excluded. Participants were categorized into two groups, namely group 1 (21 patients who underwent laparotomy) and group 2 (20 patients who underwent laparoscopic surgery).</p> Results <p>5-year OS of EEC with cervical involvement was 61%, 52.4% in group 1 and 70% in group 2 (<i>p</i> = 0.417). Recurrence was detected in 7 patients. 5-year PFS of EEC with cervical involvement was 82.9%, 85.7% in group 1 and 80% in group 2 (<i>p</i> = 0.704). No significant difference was detected in terms of recurrence between the two groups (<i>p</i> = 0.840).</p> Conclusion <p>EEC represents the most common endometrial cancer subgroup and has a favorable prognosis. In this study, although our patient number was small, we compared laparoscopy and laparotomy in the treatment of EEC with cervical involvement and no statistical difference was found.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Comparison of Laparotomy and Laparoscopy for the Management of Endometrioid Endometrial Cancer with Cervical Involvement

  • Cem Yagmur Ozdemir,
  • Nayif Cicekli,
  • Hüseyin Coşkun,
  • Riza Dur,
  • Ilhan Demir,
  • Necat Çağatay Sezer,
  • Dagistan Tolga Arioz

摘要

Aim

We aimed to compare overall survival (OS) and progression-free survival (PFS) between patients treated with laparoscopy and laparotomy for endometrioid endometrial cancer (EEC) with cervical involvement.

Methods

A total of 41 patients with EEC with cervical involvement were included in the study. The exclusion criteria were non-endometriod type endometrial cancer in the postoperative pathology report results, synchronous tumor or stage I endometrial cancer. Additionally, stage III and stage IV patients without cervical involvement were excluded. Participants were categorized into two groups, namely group 1 (21 patients who underwent laparotomy) and group 2 (20 patients who underwent laparoscopic surgery).

Results

5-year OS of EEC with cervical involvement was 61%, 52.4% in group 1 and 70% in group 2 (p = 0.417). Recurrence was detected in 7 patients. 5-year PFS of EEC with cervical involvement was 82.9%, 85.7% in group 1 and 80% in group 2 (p = 0.704). No significant difference was detected in terms of recurrence between the two groups (p = 0.840).

Conclusion

EEC represents the most common endometrial cancer subgroup and has a favorable prognosis. In this study, although our patient number was small, we compared laparoscopy and laparotomy in the treatment of EEC with cervical involvement and no statistical difference was found.