Evidence map›Paper›PMID 30479091›Full record

ArticleJournal of gynecologic oncology2019

Prognostic factors of synchronous endometrial and ovarian endometrioid carcinoma.

Yutaka Yoneoka, Hiroshi Yoshida, Mitsuya Ishikawa, Hanako Shimizu, Takashi Uehara, Takashi Murakami, Tomoyasu Kato

Abstract read
In one paragraph

Article in Journal of gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
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  5. FIGO staging of endometrial cancer: 2023.Journal of gynecologic oncology · 2023
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yutaka YoneokaDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8255-6293
Hiroshi YoshidaDivision of Pathology and Clinical Laboratories, National Cancer Center Hospital, Tokyo, Japan. hiroyosh@ncc.go.jp.ORCID https://orcid.org/0000-0002-7569-7813
Mitsuya IshikawaDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-8855-2966
Hanako ShimizuDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6335-308X
Takashi UeharaDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0688-8827
Takashi MurakamiDepartment of Obstetrics and Gynecology, Shiga University of Medical Science, Shiga, Japan.ORCID https://orcid.org/0000-0002-0250-0856
Tomoyasu KatoDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-9561-1522

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGynecologists occasionally encounter synchronous endometrial and ovarian endometrioid carcinoma (SEO-EC) patients who show favorable prognosis than locally advanced or metastatic disease patients. This study aimed to elucidate prognostic factors of SEO-EC and identify patients who have a sufficiently low risk of recurrence without receiving adjuvant chemotherapy.

methodsWe retrospectively reviewed 46 patients with pathologically confirmed SEO-EC who underwent surgery at the National Cancer Center Hospital between 1997 and 2016. Immunohistochemical evaluation of DNA mismatch repair (MMR) protein expression were performed for both endometrial and ovarian tumors. Patient outcomes were analyzed according to clinicopathologic factors.

resultsFrom the multivariate analysis, cervical stromal invasion indicated a worse prognosis for progression-free survival (hazard ratio [HR]=6.85; 95% confidence interval [CI]=1.50-31.1) and overall survival (HR=6.95; 95% CI=1.15-41.8). Lymph node metastasis and peritoneal dissemination did not significantly affect survival. MMR deficiency was observed in 13 patients (28.3%), with both endometrial and ovarian tumors showing the same MMR expression status. MMR deficiency was not significantly associated with survival. Of 23 patients with lesions confined to only the uterine body and adnexa, only 2 had recurrence in the group receiving adjuvant therapy, while none of the 10 patients who did not receive adjuvant therapy had recurrence.

conclusionSEO-EC patients with tumors localized to the uterine body and adnexa lesions had a low risk for recurrence and may not require adjuvant therapy. SEO-EC may have prognostic factors different from those of endometrial and ovarian cancer.

Indexed as

AdultAgedCarcinoma, EndometrioidChemotherapy, AdjuvantDNA Mismatch RepairEndometrial NeoplasmsFemaleHumansKaplan-Meier EstimateMiddle AgedNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasms, Multiple PrimaryOvarian NeoplasmsProgression-Free SurvivalProportional Hazards Modelsmacrophage MHC receptor 1, humanReceptors, ImmunologicAdjuvant ChemotherapyImmunohistochemistryMismatch Repair DeficiencyPrognostic FactorsSynchronous Neoplasms

Identifiers

PMID30479091
PMCPMC6304406

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.