Clinicopathologic characteristics of recurrent endometrioid endometrial cancer patients and analysis of methods used dur?ing surveillance - 31/08/19
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Abstract |
Objective |
To determine cilinicopathologic characteristics of recurrent endometrioid type endometrial cancer patients and analyze the methods applied in detection of recurrent disease during follow-up period.
Methods |
We have retrospectively reviewed the file records of the 226 patients who had endometrioid type carcinoma. Bimanual pelvic examination, speculum examination, carcinogenic antigen-125 (CA125) testing, vaginal cuff cytologic screening, transabdominal ultrasound (TAUS) and transvaginal ultrasound(TVUS) imagings were performed within the context of routine follow-up control examinations in the post-treatment period in every 3 months within the first 2 years and in every 6 months in the following 2 years and with annual control in the consecutive years.
Results |
Mean follow-up durations was 25.7±18.9 months while recurrence rate was 3.1%. The study patient group underwent totally 1116 times TVUS and 1084 times whole TA-US evaluations, 973 times vaginal cuff cytological screening, 1125 times pelvic and general physical examinations beside 1060 times CA-125 testings were performed in accordance with our routinely performed follow-up protocol. The asymptomatic recurrent cases ; one of those was dignosed with pelvic examination while diagnosis was established using TA-USG evaluation in the other asymptomatic patient. The other 5 cases were symptomatic. Pelvic examination, Computed Tomograhy and Magnetic Resonance Imaging were utilized in diagnosing 1, 3 and 1 of those patients, respectively.
Conclusion |
The presence of symptoms and pelvic examination seem to be the most effective modalities in detecting recurrence in follow-up of endometrial cancer. It would be reasonable to optimize intervals between follow-up visits and to determine the appropriate evaluations by considering risk levels of the patients.
Le texte complet de cet article est disponible en PDF.Keywords : Endometrial cancer, CA 125, cervico-vaginal cytology, ultrasonography
Plan
☆ | This study has been conducted in Baskent University Adana Dr. Turgut Noyan Teaching Hospital Gyneaoncology Department. |
Vol 48 - N° 7
P. 473-477 - septembre 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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