Evidence map›Paper›PMID 41142489›Full record

ArticleWomen's health reports (New Rochelle, N.Y.)2025

Management of Endometrial Intraepithelial Neoplasia: A Retrospective Review of Practice Patterns at a Single Military Treatment Facility and Civilian Partner Hospital.

Kathleen R Lundeberg, Rebecca W Gregg, Erica R Hope, Stuart S Winkler, McKayla Riggs

Abstract read
In one paragraph

Article in Women's health reports (New Rochelle, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kathleen R LundebergDepartment of Obstetrics and Gynecology, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
Rebecca W GreggDepartment of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center, San Antonio, TX, USA.
Erica R HopeDepartment of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center, San Antonio, TX, USA.
Stuart S WinklerDepartment of Gynecologic Surgery and Obstetrics, Brooke Army Medical Center, San Antonio, TX, USA.
McKayla RiggsDepartment of Obstetrics and Gynecology, Wright State University Boonshoft School of Medicine, Dayton, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endometrial intraepithelial neoplasia (EIN) is a known precursor to endometrial endometrioid carcinoma, with a 40% risk of concurrent endometrial cancer at the time of hysterectomy. Many benign gynecologists (GYN) refer to gynecologic oncologists (GYO) for this risk of malignancy. This retrospective cohort study describes the pathological outcomes of patients with EIN who underwent hysterectomy at a single military treatment facility (MTF) and a civilian partner hospital. Methods: A retrospective chart review was performed for patients with a diagnosis of EIN at a single MTF and civilian hospital from 1/1/2021 to 10/30/2023. Preoperative risk factors for malignancy of cases performed by GYN and GYO were compared. Results: A total of 58 patients with EIN were included (8 from the MTF, 50 from the civilian partner hospital). Of these, 48 (82.8%) patients were referred to GYO for hysterectomy. Thirty-three (56.9%) patients were upstaged to endometrial cancer, with 28 (84.5%) Stage IA, 3 (9.1%) Stage IB, and 2 (3.4%) Stage III. Of the 48 patients in the GYO cohort, 36 patients underwent nodal sampling with only one lymph node positive for metastasis. No patients required secondary staging procedures. No significant preoperative risk factors were identified for advanced cancer. Conclusions: Our data supports prior literature suggesting that the likelihood of nodal involvement and advanced metastatic disease in patients with EIN is low. Current guidelines allow flexibility in the management of EIN by either GYN or GYO. Additional research into and application of preoperative risk algorithms may help identify patient risk for advanced malignancy and accurately guide low-risk patients towards management by GYN and high-risk patients by GYO.

Indexed as

EINendometrial cancerendometrial hyperplasiaendometrial intraepithelial neoplasia

Identifiers

PMID41142489
PMCPMC12547393

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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.