Evidence map›Paper›PMID 41378031›Full record

ArticleTranslational cancer research2025

Prognostic characteristics and recurrence patterns of grade 1 endometrial carcinoma: a large retrospective analysis of a tertiary center.

Negin Sadeghi, Jacopo Conforti, Andreas Zouridis, Ammara Kashif, Ahmed Darwish, Sarah Louise Smyth, Alisha Sattar, Susan Addley, Christina Pappa, Stephen Damato and 4 more

Abstract read
In one paragraph

Article in Translational cancer research, 2025. 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

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.

  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

14 authors.

Negin Sadeghi *Department of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0003-2818-0966
Jacopo Conforti *Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0009-0004-2831-2134
Andreas ZouridisDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0002-1926-5397
Ammara KashifDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Ahmed DarwishDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0001-7562-3534
Sarah Louise SmythDepartment of Obstetrics and Gynaecology, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough, UK.ORCID https://orcid.org/0000-0001-7407-8247
Alisha SattarDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0001-7216-3560
Susan AddleyDerby Gynaecological Cancer Centre, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID https://orcid.org/0000-0001-8272-8537
Christina PappaDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0003-2801-2786
Stephen DamatoDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Mostafa AbdallaDepartment of Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-4901-1929
Sean KehoeDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Federico FerrariDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID https://orcid.org/0000-0001-7065-2432
Hooman Soleymani MajdDepartment of Obstetrics and Gynaecology, John Radcliffe Hospitals, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID https://orcid.org/0000-0003-3293-5321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endometrial cancer (EC) is the most common tumour of the female reproductive system, and low-grade EC is the histological type with the best prognosis for its less aggressiveness. Abnormal uterine bleeding is one of the first symptoms that appears and that allows an early diagnosis, while the disease is still confined into the uterus. The objective of this study was to identify risk factors associated with recurrence in low-grade EC across International Federation of Gynaecology and Obstetrics (FIGO) 2009 stages I to IV. Methods: This is a retrospective study that collected patients surgically treated at the Thames Valley Cancer Centre from March 2010 to January 2020 for low-grade EC. All cases were debated at the multidisciplinary team discussion, both prior to and following surgery, to decide the surgical approach and the need for adjuvant treatments. Clinical, surgical and histopathological data were gathered from electronic patient record and used for the statistical analysis. Results: A total of 238 patients were included. Overall survival (OS), disease-free survival (DFS), and cancer-specific survival (CSS) were favourable, with follow-up nearing 10 years. However, 14 patients (5.88%) experienced recurrence, 11 of whom (78.5%) were initially diagnosed at stage I. The median time from surgery to relapse was 30 months. The vaginal vault was the most common site of recurrence (42%), followed by pelvic lymph nodes and distant metastases. Only myometrial invasion (P=0.049) and serosal involvement (P=0.01) were statistically significant predictors of recurrence in both univariate and multivariate analyses. Conclusions: This study confirms that deep myometrial invasion and serosal involvement are significant predictors of recurrence and poor outcomes in grade 1 EC. Other factors, such as lymphovascular space invasion and lymph node positivity, were not confirmed as significant. Before recommending adjuvant treatment for low-grade EC patients exhibiting these risk factors, further prospective trials are necessary.

Indexed as

Endometrial cancer (EC)endometrioid endometrial cancer (EEC)grade 1low-grade endometrial cancer (low-grade EC)recurrence

Identifiers

PMID41378031
PMCPMC12686162

What OpenQuestion holds

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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.