Evidence map›Paper›PMID 41239761›Full record

ArticleActa obstetricia et gynecologica Scandinavica2026

Exploring endometrial cancer in premenopausal women-A nationwide PremEnCa cohort study.

Chrysanthos Ioannou, Cecilia Malmsten, Per Ehn, Erik Holmberg, Pernilla Dahm-Kähler, Karin Stålberg

Abstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2026. 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
–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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Chrysanthos IoannouDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0009-0002-2768-2497
Cecilia MalmstenDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-3478-0573
Per EhnDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Erik HolmbergDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Pernilla Dahm-KählerDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Karin StålbergDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Funding

Erik, Karin and Gösta Selanders FoundationSwedish Cancer Foundation
6 · The paper itself

Abstract

introductionAn increased incidence of endometrial cancer has been noted, especially in premenopausal women in countries with rapid socioeconomic transition. In one of the largest patient cohorts of women ≤50 years, with manually validated register data, we aim to examine the pattern of disease of endometrial cancer and to evaluate the prognosis according to tumor and patient characteristics, focusing on body mass index. MATERIAL AND

methodsThis is a nationwide population-based study on women ≤50 years with endometrial cancer, 2010-2021, using data from Swedish registries complemented by the reviewing of medical records. Overall survival and disease-free survival were calculated by the Kaplan-Meier method and the log-rank test. Multivariable regression analyses were performed.

resultsOf the total endometrial cancer cohort, 797 (5%) patients were ≤50 years of age (the PremEnCa cohort) with 0.9% under 40 years of age. Women ≤50 years of age had a higher prevalence of stage IA and endometrioid histology than older women. Among women ≤50 years of age, 46% met the criteria for obesity. No associations between socioeconomic factors and stage at diagnosis were found. Notably, women with lower Body Mass Index <20, had a higher proportion of non-endometrioid histology and higher stage of disease at the time of diagnosis. Median follow-up time was 4.2 (IOR 1.9-5.4) years. The recurrence rate was 6.1% in the PremEnCa cohort during the follow-up period, and the 5-year overall survival was 94.6% (95% CI: 92.6-96.0) for endometrioid and 68.5% (95% CI: 51.1-80.8) for non-endometrioid endometrial cancer. Only 36 of the 74 deaths were caused by endometrial cancer. In adjusted analyses for disease-free survival, non-endometrioid histology and International Federation of Gynecology and Obstetrics (FIGO) stage were associated with worse prognosis.

conclusionsEndometrial cancer in premenopausal women is very rare and is associated with an excellent prognosis. Histology and FIGO stage were the strongest prognostic factors. Half of the deaths were due to other causes, which emphasizes the importance of focusing on general health aspects in this young endometrial cancer population.

Indexed as

Endometrial NeoplasmsPremenopauseAdultBody Mass IndexCarcinoma, EndometrioidCohort StudiesFemaleHumansMiddle AgedNeoplasm StagingPrognosisRegistriesSwedenendometrial cancerobesitypopulation‐basedPremEnCapremenopausalprognostic risk factorsrecurrencesurvival

Identifiers

PMID41239761
PMCPMC12746176

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