Abstract

Background: Uterine sarcomas are rare, malignant, gynecological tumors and show diverse histopathological features. Therefore, there is no consensus on risk factors for poor outcome and optimal treatment. The aim of this retrospective analysis is to report the clinical outcome of patients with uterine sarcoma treated at a single center. Materials and Methods: The data was obtained regarding the patient's demographic characteristics, pathological results, treatments given, survival, and complications of all uterine sarcoma patients treated in a single center between the years 2000 and 2012. The 80.month overall survival. (OS) was determined with respect to prognostic factors including age, stage of disease, histopathological type, and adjuvant treatment. Results: A total of 57 case records are retrieved for this retrospective analysis. The mean age of the patients is 62.5 +- 11.2 years. International Federation of Gynecology and Obstetrics (FIGO) stage distribution is stage I: 29; stage II: 13; stage III: 9; stage IV: 6. Fifty-seven patients underwent surgery, 33 received postoperative radiotherapy (PORT), and 32 received chemotherapy. Median follow-up period was 25 months (range 2-85 months). The 80-month OS for the entire group of patients was 36.7%. The significant prognostic factors for survival are age under 50 years, stage of disease, and adjuvant chemotherapy. Conclusion: Although limited by small sample size and retrospective nature, age under 50 years, stage of disease, and adjuvant chemotherapy are significant prognostic factors for survival for uterine sarcomas.

Details

Title
The retrospective analysis of patients with uterine sarcomas: A single-center experience
Author
Terek, Mustafa; Akman, Levent; Hursitoglu, Behiye; Sanli, Ulus; Ozsaran, Zeynep; Tekindal, Mustafa; Dikmen, Yilmaz; Zekioglu, Osman; Ozsaran, Ahmet
Publication year
2016
Publication date
Jan-Mar 2016
Publisher
Medknow Publications & Media Pvt. Ltd.
ISSN
09731482
e-ISSN
19984138
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
1795937002
Copyright
Copyright Medknow Publications & Media Pvt Ltd Jan-Mar 2016