Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone
Background: The therapeutic benefit of lymphadenectomy in endometrial carcinoma is controversial. Case: A 70-year-old woman with grade 3 endometrioid endometrial carcinoma with deep myometrial invasion underwent surgical staging comprising total abdominal hysterectomy, bilateral salpingo-oophorectom...
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doaj-15c9f8bccb17495ab51076c7b6d629a12021-10-02T04:01:12ZengElsevierGynecologic Oncology Reports2352-57892021-11-0138100869Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery aloneIsao Otsuka0Mizuho Kadooka1Takuto Matsuura2Corresponding author at: 929 Higashi-cho, Kamogawa-city, Chiba 296-8602, Japan.; Department of Obstetrics and Gynecology, Kameda Medical Center, Kamogawa, JapanDepartment of Obstetrics and Gynecology, Kameda Medical Center, Kamogawa, JapanDepartment of Obstetrics and Gynecology, Kameda Medical Center, Kamogawa, JapanBackground: The therapeutic benefit of lymphadenectomy in endometrial carcinoma is controversial. Case: A 70-year-old woman with grade 3 endometrioid endometrial carcinoma with deep myometrial invasion underwent surgical staging comprising total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal cytology, and pelvic and para-aortic lymphadenectomy. Pathological examination revealed micro-metastases in the para-aortic node, pelvic node, and left ovary. Peritoneal cytology was negative, and abnormal p53 expression was not detected. The patient was diagnosed with stage IIIC2 endometrial carcinoma. Adjuvant chemotherapy was advised, but the patient refused chemotherapy and was followed up regularly thereafter. The patient survived without any evidence of disease 67 months after surgery. Conclusion: Pelvic and para-aortic lymphadenectomy may have a therapeutic benefit in a patient with high-grade endometrioid carcinoma, but without p53 abnormality.http://www.sciencedirect.com/science/article/pii/S2352578921001739Endometrial cancerGrade 3 endometrioid carcinomaPara-aortic lymph node metastasisLymphadenectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Isao Otsuka Mizuho Kadooka Takuto Matsuura |
spellingShingle |
Isao Otsuka Mizuho Kadooka Takuto Matsuura Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone Gynecologic Oncology Reports Endometrial cancer Grade 3 endometrioid carcinoma Para-aortic lymph node metastasis Lymphadenectomy |
author_facet |
Isao Otsuka Mizuho Kadooka Takuto Matsuura |
author_sort |
Isao Otsuka |
title |
Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
title_short |
Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
title_full |
Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
title_fullStr |
Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
title_full_unstemmed |
Long-term survival of a patient with stage IIIC2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
title_sort |
long-term survival of a patient with stage iiic2 grade 3 endometrioid endometrial carcinoma treated with surgery alone |
publisher |
Elsevier |
series |
Gynecologic Oncology Reports |
issn |
2352-5789 |
publishDate |
2021-11-01 |
description |
Background: The therapeutic benefit of lymphadenectomy in endometrial carcinoma is controversial. Case: A 70-year-old woman with grade 3 endometrioid endometrial carcinoma with deep myometrial invasion underwent surgical staging comprising total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal cytology, and pelvic and para-aortic lymphadenectomy. Pathological examination revealed micro-metastases in the para-aortic node, pelvic node, and left ovary. Peritoneal cytology was negative, and abnormal p53 expression was not detected. The patient was diagnosed with stage IIIC2 endometrial carcinoma. Adjuvant chemotherapy was advised, but the patient refused chemotherapy and was followed up regularly thereafter. The patient survived without any evidence of disease 67 months after surgery. Conclusion: Pelvic and para-aortic lymphadenectomy may have a therapeutic benefit in a patient with high-grade endometrioid carcinoma, but without p53 abnormality. |
topic |
Endometrial cancer Grade 3 endometrioid carcinoma Para-aortic lymph node metastasis Lymphadenectomy |
url |
http://www.sciencedirect.com/science/article/pii/S2352578921001739 |
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