New revised FIGO 2008 staging system for endometrial cancer produces better discrimination in survival compared with the 1988 staging system

作者: Tatsuya Kato , Hidemichi Watari , Daisuke Endo , Takashi Mitamura , Tetsuji Odagiri

DOI: 10.1002/JSO.23203

关键词: Internal medicineStaging systemStage (cooking)MedicineOncologyGynecologyEndometrial cancerCytologyStage iiOverall survivalStage migrationFigo staging

摘要: Background and Objectives The aim of this study was to analyze the stage migration survival endometrial cancer by revised FIGO 2008 staging system compared with 1988 system. Methods A total 355 patients cancer, who underwent complete surgical staging, were enrolled. We stages those system. Results 2008 resulted in an increase I decrease II IIIa patients. The 5-year overall (OS) rates for IA IB disease 98.2% 91.9%, respectively (P = 0.004). Five-year OS rate new (82.6%) significantly worse than that (98.2%, P = 0.003). Patients positive washing cytology alone revealed a similar IIIA (96.2% vs. 90.9%, respectively; P = 0.53). IIIC1 improved IIIC2 (85.7% 63.0%, P = 0.08). Conclusion New produced better discrimination outcomes system. J. Surg. Oncol. 2012; 106: 938–941. © 2012 Wiley Periodicals, Inc.

参考文章(17)
John K. Chan, Michael K. Cheung, Warner K. Huh, Kathryn Osann, Amreen Husain, Nelson N. Teng, Daniel S. Kapp, Therapeutic role of lymph node resection in endometrioid corpus cancer Cancer. ,vol. 107, pp. 1823- 1830 ,(2006) , 10.1002/CNCR.22185
Hidemichi Watari, Yukiharu Todo, Mahito Takeda, Yasuhiko Ebina, Ritsu Yamamoto, Noriaki Sakuragi, Lymph-vascular space invasion and number of positive para-aortic node groups predict survival in node-positive patients with endometrial cancer Gynecologic Oncology. ,vol. 96, pp. 651- 657 ,(2005) , 10.1016/J.YGYNO.2004.11.026
William T. Creasman, C. Paul Morrow, Brian N. Bundy, Howard D. Homesley, James E. Graham, Paul B. Heller, Surgical pathologic spread patterns of endometrial cancer: A gynecologic oncology group study Cancer. ,vol. 60, pp. 2035- 2041 ,(1987) , 10.1002/1097-0142(19901015)60:8+<2035::AID-CNCR2820601515>3.0.CO;2-8
Andrea Mariani, Maurice J. Webb, Gary L. Keeney, Michael G. Haddock, Giliola Calori, Karl C. Podratz, Low-risk corpus cancer: is lymphadenectomy or radiotherapy necessary? American Journal of Obstetrics and Gynecology. ,vol. 182, pp. 1506- 1519 ,(2000) , 10.1067/MOB.2000.107335
Satoru Nagase, Hidetaka Katabuchi, Masamichi Hiura, Noriaki Sakuragi, Yoichi Aoki, Junzo Kigawa, Tsuyoshi Saito, Toru Hachisuga, Kiyoshi Ito, Takashi Uno, Noriyuki Katsumata, Shinichi Komiyama, Nobuyuki Susumu, Makoto Emoto, Hiroaki Kobayashi, Hirohito Metoki, Ikuo Konishi, Kazunori Ochiai, Mikio Mikami, Toru Sugiyama, Makio Mukai, Satoru Sagae, Hiroshi Hoshiai, Daisuke Aoki, Masahide Ohmichi, Hiroyuki Yoshikawa, Tsuyoshi Iwasaka, Yasuhiro Udagawa, Nobuo Yaegashi, Evidence-based guidelines for treatment of uterine body neoplasm in Japan: Japan Society of Gynecologic Oncology (JSGO) 2009 edition International Journal of Clinical Oncology. ,vol. 15, pp. 531- 542 ,(2010) , 10.1007/S10147-010-0138-6
Sergio Pecorelli, Revised FIGO staging for carcinoma of the vulva, cervix, and endometrium International Journal of Gynecology & Obstetrics. ,vol. 105, pp. 103- 104 ,(2009) , 10.1016/J.IJGO.2009.02.012
Yukiharu Todo, Kazuhira Okamoto, Masaru Hayashi, Shinichiro Minobe, Eiji Nomura, Hitoshi Hareyama, Mahito Takeda, Yasuhiko Ebina, Hidemichi Watari, Noriaki Sakuragi, A validation study of a scoring system to estimate the risk of lymph node metastasis for patients with endometrial cancer for tailoring the indication of lymphadenectomy. Gynecologic Oncology. ,vol. 104, pp. 623- 628 ,(2007) , 10.1016/J.YGYNO.2006.10.002
T FUJIMOTO, H NANJYO, A NAKAMURA, Y YOKOYAMA, T TAKANO, T SHOJI, K NAKAHARA, H YAMADA, H MIZUNUMA, N YAEGASHI, Para-aortic lymphadenectomy may improve disease-related survival in patients with multipositive pelvic lymph node stage IIIc endometrial cancer. Gynecologic Oncology. ,vol. 107, pp. 253- 259 ,(2007) , 10.1016/J.YGYNO.2007.06.009
Sharyn N Lewin, Thomas J Herzog, Nicanor I Barrena Medel, Israel Deutsch, William M Burke, Xuming Sun, Jason D Wright, Comparative Performance of the 2009 International Federation of Gynecology and Obstetrics' Staging System for Uterine Corpus Cancer. Obstetrics & Gynecology. ,vol. 116, pp. 1141- 1149 ,(2010) , 10.1097/AOG.0B013E3182167973