Evidence map›Paper›PMID 37729375›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2023

The prognostic significance of the heterologous component in uterine carcinosarcomas.

Behzat Can, Volkan Karataşli, İlker Çakir, Sevil Sayhan, Kemal Hansu, Oğuzhan Kuru

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

6 authors at 4 institutions in 1 country.

Behzat CanNecip Fazil City Hospital, Department of Gynecological Oncology - Kahramanmaraş, Turkey.ORCID http://orcid.org/0000-0002-3797-8227
Volkan KarataşliŞanlıurfa State Hospital, Department of Gynecological Oncology - Sanlıurfa, Turkey.ORCID http://orcid.org/0000-0002-4015-6494
İlker ÇakirBuca Seyfi Demirsoy Training and Research Hospital, Department of Gynecological Oncology - İzmir, Turkey.ORCID http://orcid.org/0000-0003-0815-0954
Sevil Sayhanİzmir Tepecik Training and Research Hospital, Department of Pathology - İzmir, Turkey.ORCID http://orcid.org/0000-0003-4783-5550
Kemal HansuNecip Fazil City Hospital, Department of Obstetrics and Gynecology - Kahramanmaraş, Turkey.ORCID http://orcid.org/0000-0002-1204-9093
Oğuzhan KuruIstanbul University, Cerrahpasa Faculty of Medicine, Department of Gynecological Oncology - Istanbul, Turkey.ORCID http://orcid.org/0000-0002-4497-7222
Istanbul University · TRIzmir Tepecik Eğitim ve Araştırma Hastanesi · TRSivas State Hospital · TRSuleyman Demirel University Research and Education Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUterine carcinosarcomas are aggressive, rare biphasic tumors with malignant epithelial and malignant sarcomatous components. The prognostic significance of the presence of extrauterine sarcoma (heterologous component) is controversial. Therefore, the aim of this study was to investigate the effect of heterologous components in uterine carcinosarcomas on disease-free survival, overall survival, and other prognostic factors.

methodsClinical and histopathological data from patients treated for uterine carcinosarcoma in a tertiary cancer center in Turkey between July 2000 and January 2020 were collected. Independent risk factors affecting overall survival and disease-free survival were analyzed by univariate and multivariate Cox regression analyses.

resultsA total of 98 patients were identified. The median follow-up was 21.8 (1.2-233.1) months. In the multivariate analysis, the median overall survival and disease-free survival were 23.8 and 20.7 months in those with homologous mesenchymal components and 17.6 and 9.7 months in those with heterologous mesenchymal components, respectively. It was found that the presence of heterologous mesenchymal components significantly reduced both overall survival and disease-free survival (odds ratio [OR], 2.861; 95% confidence interval [CI] 1.196-6.841; p=0.018 and OR, 3.697; 95%CI 1.572-8.695; p=0.003, respectively). In addition, both lymphadenectomy and adjuvant radiotherapy were found to significantly increase overall survival and disease-free survival. Age was found to increase only disease-free survival.

conclusionThe results obtained in this study showed that the presence of heterologous components in uterine carcinosarcoma is a prognostic factor that adversely affects both overall survival and disease-free survival. Lymphadenectomy and adjuvant radiotherapy have beneficial effects on both overall survival and disease-free survival.

Indexed as

CarcinosarcomaLymph Node ExcisionDisease-Free SurvivalHumansMultivariate AnalysisPrognosis

Identifiers

PMID37729375
PMCPMC10508891
OpenAlexW4386831267

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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.