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- W2072829009 abstract "Purpose/Objective(s)To identify prognostic factors for overall survival (OS) and progression-free survival (PFS) for patients with uterine papillary serous carcinoma (UPSC).Materials/MethodsIRB approval was obtained for the study. Between January 2000 and 2010, 429 patients with endometrial cancer were diagnosed at our center and 62 were UPSC, International Federation of Gynecology and Obstetrics (FIGO) stages I–IV. All patients underwent hysterectomy. The pathological specimens were reviewed again independently by a single pathologist. The clinic-pathological features, adjuvant treatment, and relapse characteristics of 44 women with complete treatment information were analyzed to determine prognostic and predictive factors for OS and PFS using the Kaplan-Meier product limit method and log-rank tests.ResultsMedian follow-up was 49.3 months. Median OS was 50.4 months. Median PFS was not estimable. Two-year OS was 83% and decreased to 48% at 5 years. Two-year PFS was 82% and decreased to 75% at 5 years. Age (older), stage (higher), tumor size (larger), tumor not arising from a polyp, parametrial involvement, LVI and no adjuvant treatment, were prognostic factors associated with poorer OS (all p<0.05). Specifically, combined adjuvant chemotherapy and radiation therapy (Pelvic external beam ± Vaginal brachytherapy or vaginal brachytherapy alone) was significantly associated with longer OS as compared to no adjuvant treatment (p<0.0386). Higher stage and parametrial involvement were prognostic factors associated with poorer PFS (all p<0.05). OS and PFS had no significant association with race, depth of invasion, lower uterine segment involvement, peritoneal cytology, and lymph node involvement (p>0.05).ConclusionsIn uterine papillary serous cancer, adjuvant chemotherapy and radiation therapy as well as tumors arising from a polyp were associated with improved overall survival, while early stage disease was associated with improved progression free and overall survival. Purpose/Objective(s)To identify prognostic factors for overall survival (OS) and progression-free survival (PFS) for patients with uterine papillary serous carcinoma (UPSC). To identify prognostic factors for overall survival (OS) and progression-free survival (PFS) for patients with uterine papillary serous carcinoma (UPSC). Materials/MethodsIRB approval was obtained for the study. Between January 2000 and 2010, 429 patients with endometrial cancer were diagnosed at our center and 62 were UPSC, International Federation of Gynecology and Obstetrics (FIGO) stages I–IV. All patients underwent hysterectomy. The pathological specimens were reviewed again independently by a single pathologist. The clinic-pathological features, adjuvant treatment, and relapse characteristics of 44 women with complete treatment information were analyzed to determine prognostic and predictive factors for OS and PFS using the Kaplan-Meier product limit method and log-rank tests. IRB approval was obtained for the study. Between January 2000 and 2010, 429 patients with endometrial cancer were diagnosed at our center and 62 were UPSC, International Federation of Gynecology and Obstetrics (FIGO) stages I–IV. All patients underwent hysterectomy. The pathological specimens were reviewed again independently by a single pathologist. The clinic-pathological features, adjuvant treatment, and relapse characteristics of 44 women with complete treatment information were analyzed to determine prognostic and predictive factors for OS and PFS using the Kaplan-Meier product limit method and log-rank tests. ResultsMedian follow-up was 49.3 months. Median OS was 50.4 months. Median PFS was not estimable. Two-year OS was 83% and decreased to 48% at 5 years. Two-year PFS was 82% and decreased to 75% at 5 years. Age (older), stage (higher), tumor size (larger), tumor not arising from a polyp, parametrial involvement, LVI and no adjuvant treatment, were prognostic factors associated with poorer OS (all p<0.05). Specifically, combined adjuvant chemotherapy and radiation therapy (Pelvic external beam ± Vaginal brachytherapy or vaginal brachytherapy alone) was significantly associated with longer OS as compared to no adjuvant treatment (p<0.0386). Higher stage and parametrial involvement were prognostic factors associated with poorer PFS (all p<0.05). OS and PFS had no significant association with race, depth of invasion, lower uterine segment involvement, peritoneal cytology, and lymph node involvement (p>0.05). Median follow-up was 49.3 months. Median OS was 50.4 months. Median PFS was not estimable. Two-year OS was 83% and decreased to 48% at 5 years. Two-year PFS was 82% and decreased to 75% at 5 years. Age (older), stage (higher), tumor size (larger), tumor not arising from a polyp, parametrial involvement, LVI and no adjuvant treatment, were prognostic factors associated with poorer OS (all p<0.05). Specifically, combined adjuvant chemotherapy and radiation therapy (Pelvic external beam ± Vaginal brachytherapy or vaginal brachytherapy alone) was significantly associated with longer OS as compared to no adjuvant treatment (p<0.0386). Higher stage and parametrial involvement were prognostic factors associated with poorer PFS (all p<0.05). OS and PFS had no significant association with race, depth of invasion, lower uterine segment involvement, peritoneal cytology, and lymph node involvement (p>0.05). ConclusionsIn uterine papillary serous cancer, adjuvant chemotherapy and radiation therapy as well as tumors arising from a polyp were associated with improved overall survival, while early stage disease was associated with improved progression free and overall survival. In uterine papillary serous cancer, adjuvant chemotherapy and radiation therapy as well as tumors arising from a polyp were associated with improved overall survival, while early stage disease was associated with improved progression free and overall survival." @default.
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- W2072829009 date "2012-11-01" @default.
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- W2072829009 title "Outcome Determinants in Uterine Papillary Serous Carcinoma Based on Clinicopathological and Treatment Factors" @default.
- W2072829009 doi "https://doi.org/10.1016/j.ijrobp.2012.07.1200" @default.
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