Adenocarcinoma corpus et colli: Analysis of diagnostic variables

Alison R. Calkins, Frederick B. Stehman, Gregory P. Sutton, Shailaja Reddy, Ned B. Hornback, Clarence E. Ehrlich

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Between January 1973 and December 1983, 469 patients with carcinoma of the endometrium were seen at this institution. Eighty-one patients were identified with adenocarcinoma involving both the uterine body and the cervix. Patients were divided into three groups for evaluation. Group A (n = 58) had a positive cervical biopsy or endocervical curettage, but a normal-appearing cervix at clinical examination. Group B (n = 18) had gross tumor involving the cervix which was confirmed by biopsy. Group C (n = 5) had unsuspected cervical involvement revealed at hysterectomy. Fourteen Group A patients received preoperative radiation therapy. Thirty of the 44 Group A patients (68.2%) who did not receive preoperative radiation, had no involvement of the cervix by tumor in the hysterectomy specimen. Seventy-six patients were eligible for follow-up of at least 18 months. There were 24 recurrences among these 76 patients. Recurrence was more common with advancing grade and with increasing myometrial invasion. Pelvic failures occurred with comparable frequency in both Groups A and B. Only 4 of 11 patients who were found to have extrauterine disease at surgery are still alive. In this study, we found that (a) endocervical curettage has a significant false-positive rate, (b) both histologic grade and volume of cervical involvement should be considered in treatment planning, (c) primary operation should be considered in the management of selected patients with Stage II endometrial carcinoma, and (d) extrauterine disease is a grave prognostic factor.

Original languageEnglish (US)
Pages (from-to)911-916
Number of pages6
JournalInternational journal of radiation oncology, biology, physics
Volume12
Issue number6
DOIs
StatePublished - Jun 1986

Keywords

  • Radiation therapy
  • Stage II endometrium

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Radiation

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