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As shown in the original Japanese group description, in recent studies, GAS represents a more aggressive disease than the usual-type endocervical adenocarcinoma (UEA). Detailed clinicopathological features of this variant remain to be elucidated in a larger series of patients.\nMethods\nPatients were enrolled by the Gynecologic Cancer Study Group of the Japan Clinical Oncology Group after receiving the approval of each Institutional Review Board. The study population comprised of women with stage I to II endocervical adenocarcinomas who underwent surgery between 2000 and 2009. Representative slides were evaluated by central pathological review (CPR), categorized into either GAS or UEA, and correlated with clinicopathological features and outcome.\nResults\nAmong the 393 enrolled patients with endocervical adenocarcinoma, 328 patients met the criteria for CPR and the study eligibility criteria and were included in further analysis. 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Analysis of gastric-type mucinous carcinoma of the uterine cervix — An aggressive tumor with a poor prognosis: A multi-institutional study
http://hdl.handle.net/2241/00157220
http://hdl.handle.net/2241/001572207ab68f48-9c79-4493-b776-4c2c486e93ef
名前 / ファイル | ライセンス | アクション |
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GO_153-13 (703.2 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2019-07-26 | |||||
タイトル | ||||||
タイトル | Analysis of gastric-type mucinous carcinoma of the uterine cervix — An aggressive tumor with a poor prognosis: A multi-institutional study | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
佐藤, 豊実
× 佐藤, 豊実× Nishio, Shin× Mikami, Yoshiki× Tokunaga, Hideki× Yaegashi, Nobuo× Saito, Motoaki× Okamoto, Aikou× Kasamatsu, Takahiro× Miyamoto, Tsutomu× Shiozawa, Tanri× Yoshioka, Yumiko× Mandai, Masaki× Kojima, Atsumi× Takehara, Kazuhiro× Kaneki, Eisuke× Kobayashi, Hiroaki× Kaku, Tsunehisa× Ushijima, Kimio× Kamura, Toshiharu |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective Gastric-type mucinous carcinoma (GAS) is a novel variant of mucinous carcinoma of the uterine cervix. As shown in the original Japanese group description, in recent studies, GAS represents a more aggressive disease than the usual-type endocervical adenocarcinoma (UEA). Detailed clinicopathological features of this variant remain to be elucidated in a larger series of patients. Methods Patients were enrolled by the Gynecologic Cancer Study Group of the Japan Clinical Oncology Group after receiving the approval of each Institutional Review Board. The study population comprised of women with stage I to II endocervical adenocarcinomas who underwent surgery between 2000 and 2009. Representative slides were evaluated by central pathological review (CPR), categorized into either GAS or UEA, and correlated with clinicopathological features and outcome. Results Among the 393 enrolled patients with endocervical adenocarcinoma, 328 patients met the criteria for CPR and the study eligibility criteria and were included in further analysis. A total of 95 of the 328 tumors were classified as GAS. Compared with UEA, GAS was more significantly associated with bulky mass, deep stromal invasion, lymphovascular space invasion, parametrial invasion, ovarian metastasis, positive ascitic fluid cytology, pelvic lymph node metastasis, and pathological (p) T stage but was not related to the degree of histological differentiation. Disease-free survival (P < 0.0001) and overall survival (P < 0.0001) were poorer in patients with GAS than in those with UEA. Conclusions GAS showed aggressive behavior with ominous histopathological predictors as well as decreased survival. GAS is therefore considered a distinct entity that should be distinguished from UEA. |
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書誌情報 |
Gynecologic oncology 巻 153, 号 1, p. 13-19, 発行日 2019-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00908258 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00660708 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 30709650 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.ygyno.2019.01.022 | |||||
権利 | ||||||
権利情報 | © 2019 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | |||||
著者版フラグ | ||||||
値 | publisher | |||||
出版者 | ||||||
出版者 | Elsevier |