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- W2559968757 abstract "Young patients with the endometrial cancerIA who desire to preserve fertility, can select the conservative therapy withprogestin. However, the therapy involves risks of progression and relapse. Weexamined immunohistochemical analyses of phosphatase and tension homolog (PTEN)and p53 expressions to predict the early relapse, and pregnancy and delivery.Twenty women with endometrial cancer, FIGO IA (1988) (FIGO staging wasessentially defined post-surgically), instead of the pathogical specimen beforesurgery without myometrial invasion were estimated by MRI under 40 years atGifu University Hospital, Japan from 1988 to 2009. Patients were treated withmedroxyprogesterone acetate (MPA, 400 - 600 mg/day) for 4 - 10 months, withwhole wall endometrial curettage performed every four weeks. Response to thetherapy, pregnancy, delivery and relapse of disease during follow-up over a72-month period. Immunohistochemical expression of PTEN and p53 was alsoevaluated with pregnancy, delivery and relapse rate. All patients hadpathological complete remissions within 4 - 10 months. Relapse rate was high(60%) in more than 72 months. Immunohistochemical PTEN retain in tumor cellsbefore MPA treatment (8/10) was significant better correlation with pregnancyand delivery rate than of lost cases (1/5) in non-obese women (P < 0.05).Conservative therapy is feasible in carefully selected young women withendometrial cancer without myometrial invasion. However, the relapse rate washigh. In cases who desire to be a pregnant, an earlier infertility treatmentmay be considered especially for PTEN loss especially in nonobese cases." @default.
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- W2559968757 date "2017-01-01" @default.
- W2559968757 modified "2023-09-30" @default.
- W2559968757 title "Conservative Medroxyprogesterone Acetate Therapy in Early Stage of Endometrial Carcinoma Associated with Phosphatase and Tensin Homolog Expression" @default.
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- W2559968757 doi "https://doi.org/10.4236/ojpathology.2017.71001" @default.
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