Uterine sarcomas: Review of 26 years at The Instituto Nacional de Cancerologia of Mexico

摘要: Abstract Uterine sarcomas are a group of uncommon tumors that account for approximately 1% malignant neoplasms the female genital tract and between 3 8.4% uterine neoplasms. Objective To evaluate factors associated with clinical behavior sarcomas. Materials methods In period from October 1983 to December 2009, files patients confirmed diagnosis sarcoma at National Institute Cancerology Mexico (INCan) were reviewed evaluated. Results We identified 77 cases complete information; average age presentation was 51.6 years (range, 14–78 years); most frequent histology leiomyosarcoma (LMS) in 53/77 (68.8%) cases; symptom reported time abnormal vaginal bleeding 36/77 (46.7%) cases, stage (CS) I 31/77 (40.2%) cases. Initial treatment total abdominal hysterectomy (TAH) bilateral salpingo-oophrectomy (BSO) (68.9%) Disease-free 27.8 months 0–184 months), disease recurrence 33/77 (42.85%) site as lung 13/33 (39.39%) Management recurrences surgery chemotherapy (CT) 5/33 (15.15%) CT 10/33 (30.30%) At present, 40.3% (31/77) found be Disease-free. Conclusion Notwithstanding aggressive neoplasms, accepted management date is TAH + BSO, observing fact this procedure not performed by oncologists does affect DFP nor OS, contrary what occurs other gynecological