Evidence map›Paper›PMID 40002230›Full record

ArticleCancers2025

Uterine Carcinosarcoma-A Retrospective Cohort Analysis from a Tertiary Centre on Epidemiology, Management Approach, Outcomes and Survival Patterns.

Sarah Louise Smyth, Katherine Ripullone, Andreas Zouridis, Christina Pappa, Geraldine Spain, Aikaterina Gkorila, Amika McCulloch, Phoebe Tupper, Farhat Bibi, Negin Sadeghi and 8 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
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

18 authors.

Sarah Louise SmythFrimley Health NHS Foundation Trust, Wexham SL2 4HL, UK.ORCID 0000-0001-7407-8247
Katherine RipulloneOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.
Andreas ZouridisOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.ORCID 0000-0002-1926-5397
Christina PappaOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.ORCID 0000-0003-2801-2786
Geraldine SpainOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.
Aikaterina GkorilaSalisbury NHS Foundation Trust, Salisbury SP2 8BJ, UK.
Amika McCullochBedfordshire Hospitals NHS Foundation Trust, Luton LU4 0DZ, UK.
Phoebe TupperBuckinghamshire Healthcare NHS Trust, Aylesbury HP21 8AL, UK.
Farhat BibiUniversity Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK.ORCID 0000-0002-0089-2913
Negin SadeghiOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.
Alisha SattarCambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.
Shmaila SiddikiGreat Western Hospitals NHS Foundation Trust, Swindon SN3 6BB, UK.
Susan AddleyUniversity Hospitals of Derby and Burton NHS Foundation Trust, Derby DE22 3NE, UK.
Mostafa AbdallaGuy's and St Thomas' NHS Foundation Trust, London SE1 9RT, UK.
Federico FerrariDepartment of Clinical and Experimental Sciences, University of Brescia, 25136 Brescia, Italy.ORCID 0000-0001-7065-2432
Stephen DamatoOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.
Sean KehoeOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.
Hooman Soleymani MajdOxford University Hospitals NHS Foundation Trust, Oxford OX3 7LE, UK.ORCID 0000-0003-3293-5321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesUterine carcinosarcoma (UCS) refers to a rare high-grade aggressive epithelial non-endometrioid endometrial carcinoma, with tumour cells demonstrating epithelial-mesenchymal metaplastic transition and composed of both carcinomatous epithelial and sarcomatous (homologous or heterologous) components.

methodsThe aim of this study was to evaluate the epidemiology, management approach, outcomes and survival patterns of patients with UCS. Seventy-seven cases of UCS treated with primary surgery in a single tertiary centre underwent retrospective cohort analysis across a ten-year period. Observational data on clinicopathological variables and treatment pathways were reviewed and independent risk factors for relapse and mortality were analysed.

resultsThe 5-year disease-free and overall survival rates were 52.10% and 46.6%, respectively. Cervical stromal involvement was independently related to disease-free survival (HR = 6.26; 95%CI 1.82-21.59;

conclusionsWhilst our data suggests an encouraging similarity in overall survival rates compared with the literature, UCS continues to represent significant treatment challenges-with a paucity of guidelines available. Data regarding molecular analysis was not systemically available in our cohort, the more recent introduction of which (alongside the revision of endometrial cancer staging) will undoubtedly provide UCS patients with improved therapeutic options in the future.

Indexed as

heterologoushigh gradeprognosisrecurrencesurvivaluterine carcinosarcoma

Identifiers

PMID40002230
PMCPMC11853231

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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.