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Prognostic significance of positive peritoneal cytology in endometrial carcinoma based on ESGO/ESTRO/ESP risk classification: A multicenter retrospective study

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单位: [1]Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China [2]Division of Gynecology oncology, Qilu Hospital of Shandong University, Jinan 250012, China [3]Cancer Biology Research Center (Key Laboratory of the Ministry of Education),Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China [4]Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China [5]Department of Gynecologic Oncology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China [6]Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 250023, China [7]Department of Gynecologic Oncology, Sun Yat-sen University Cancer Center, Guangzhou 510060, China [8]Department of Gynecologic Oncology, Guangxi Medical University Cancer Hospital, Nanning 530021, China [9]Peking University People's Hospital, Beijing 100044, China [10]Department of Obstetrics and Gynecology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China [11]Department of Obstetrics and Gynecology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China [12]Department of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin 300052, China [13]The Third Hospital of Peking University, Beijing 100191, China [14]Department 0f Gynecology and Obstetrics, The Affiliated Yantai Yuhuangding Hospital of Qindao University, Yantai 264000, China [15]Department of Gynecology and Obstetrics, XinHua Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200092, China [16]The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei 230001, China [17]Department of Gynecology and Obstetrics, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China [18]Department of Obstetrics and Gynecology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, China [19]Department of Gynecology and Obstetrics, Development and Related Disease of Women and Children Key Laboratory of Sichuan Province, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, Chengdu 610041, China [20]Department of Obstetrics and Gynecology, Xiangya Third Hospital, Central South University, Changsha, Hunan 410013, China [21]Department of Gynecology, The Second Hospital of Shandong University, Jinan 250033, China [22]Department of Gynecology and Obstetrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
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关键词: Endometrial carcinoma Positive peritoneal cytology ESGO/ESTRO/ESP risk classification Prognosis

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This study aimed to determine the prognostic significance of positive peritoneal cytology (PC) on endometrial carcinoma (EC) patients under the ESGO/ESTRO/ESP risk classification.This study retrospectively analyzed EC patients from 27 medical centers in China from 2000 to 2019. Patients were divided into three ESGO risk groups: low-risk, intermediate-risk and high-intermediate risk, and high-risk groups. The covariates were balanced by using the propensity score-based inverse probability of treatment weighting (PS-IPTW). The prognostic significance of PC was assessed by Kaplan-Meier curves and multivariate Cox regression analysis.A total of 6313 EC patients with PC results were included and positive PC was reported in 384 women (6.1%). The multivariate Cox analysis in all patients showed the positive PC was significantly associated with decreased PFS (hazard ratio [HR] 2.20, 95% confidence interval [CI] 1.55-3.13, P < 0.001) and OS (HR 2.25, 95% CI 1.49-3.40, P < 0.001),and the Kaplan-Meier curves also showed a poor survival in the intermediate and high-intermediate risk group (5-year PFS: 75.5% vs. 93.0%, P < 0.001; 5-year OS: 78.3% vs. 96.4%, P < 0.001); While in the low-risk group, there were no significant differences in PFS and OS between different PC status (5-year PFS: 93.1% vs. 97.3%, P = 0.124; 5-year OS: 98.6% vs. 98.2%, P = 0.823); in the high-risk group, significant difference was only found in PFS (5-year PFS: 62.5% vs. 77.9%, P = 0.033).Positive PC was an adverse prognostic factor for EC, especially in the intermediate and high-intermediate risk patients. Gynecologic oncologists should reconsider the effect of positive PC on different ESGO risk groups.Copyright © 2023 Elsevier Inc. All rights reserved.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 1 区 妇产科学 2 区 肿瘤学
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 妇产科学 2 区 肿瘤学
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出版当年[2021]版:
Q1 OBSTETRICS & GYNECOLOGY Q2 ONCOLOGY
最新[2023]版:
Q1 OBSTETRICS & GYNECOLOGY Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者单位: [1]Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China [2]Division of Gynecology oncology, Qilu Hospital of Shandong University, Jinan 250012, China
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通讯机构: [1]Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, Jinan 250012, China [2]Division of Gynecology oncology, Qilu Hospital of Shandong University, Jinan 250012, China [3]Cancer Biology Research Center (Key Laboratory of the Ministry of Education),Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China [4]Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China [5]Department of Gynecologic Oncology, Women’s Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310006, China [*1]Department of Obstetrics and Gynecology, Qilu Hospital of Shandong University, 107Wenhua Xi Road, Ji'nan 250012, Shandong Province, China. [*2]Department of Gynecology and Obstetrics,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China [*3]Department of Gynecologic Oncology,Women's Hospital, Zhejiang University, School of Medicine, Xueshi Road 1, Hangzhou, Zhejiang 310006, China.
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