Clinical analysis of ovarian epithelial carcinoma with coexisting pelvic endometriosis

Shu Wang, Wang S, Lin Qiu, Qiu L, Jing He Lang, Lang JH, Shen K, Keng Shen, Yang JX, Jia Xin Yang, Hui Huang, Hui Fang Huang, Huang HF, Pan LY, Ling Ya Pan, Wu M, Ming Wu
American journal of obstetrics and gynecology · 2012 · vol. 208(5) , pp. 413.e1–413.e5 · doi:10.1016/j.ajog.2012.12.004 · PMID:23220508 · W2162365822
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This paper presents a clinical analysis of patients diagnosed with ovarian epithelial carcinoma who also presented with coexisting pelvic endometriosis.

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Abstract

OBJECTIVES: To explore the differences between women with endometriosis associated ovarian cancer and typical epithelial ovarian cancer. STUDY DESIGN: The medical charts of total 226 patients with epithelial ovarian cancer treated at Peking Union Medical College Hospital between March 2011 and March 2012 were reviewed. Histology evaluation determined endometriosis associated ovarian cancer (n = 17) or non-endometriosis associated ovarian cancer (n = 209). RESULTS: Compared with non-endometriosis associated ovarian cancer, patients with endometriosis associated ovarian cancer were proved: (1) to be younger and more likely to be premenopausal at diagnosis of epithelial ovarian cancer (P = .03 and .005, respectively); (2) to have lower preoperative serum level of Ca125 (mean: 122.9 vs 1377.5 U/mL, P < .001) and more likely to display normal Ca125 level (P < .001); (3) to be identified at the earlier stage (stage I, P < .001); (4) to have completely different distribution of histological subtypes (significant overrepresentation of clear cell and endometrioid carcinoma). CONCLUSION: As such, patients with endometriosis associated ovarian cancer differ from non-endomertiosis associated ovarian cancer in many of their critical clinical and biologic characteristics.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Neoplasms, Glandular and Epithelial Ovarian Neoplasms Adolescent Adolescent Adult Adult Aged Aged Age Factors Age Factors CA-125 Antigen CA-125 Antigen CA-125 Antigen Carcinoma, Ovarian Epithelial Carcinoma, Ovarian Epithelial Endometriosis Endometriosis Female Female

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (28)

Cited by (50)

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