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Objective: The purpose of this study was to determine the possible predicting factors of coexisting adnexal malignancies,

and to evaluate the safety of ovary-saving surgery for early-stage endometrial carcinoma in premenopausal patients.

Methods: A retrospective review of 107 patients with endometrial carcinoma who underwent surgical treatment at

our institution was conducted. All patients were younger than 50 years of age and premenopausal status. Statistical

analysis was performed.

Results: Of the 107 patients, 78 patients had stage Ⅰ to Ⅱ disease and both preoperative CA-125 levels were measured

and tumor grades evaluated. On multivariate analysis, preoperative CA-125 levels (p=0.018) and preoperative tumor

grade (p=0.029) were independent predicting factors of adnexal diseases. The risk of coexisting ovarian malignancy was

1.8% in patients with preoperative CA-125 levels less than or equal to 34.5 U/ml and preoperative tumor grade 1 or 2.

The risk increases to 20% for low CA-125 and grade 3, 13.3% for high CA-125 and grade 1 or 2, and 100% for high

CA-125 and grade 3. Between patients who underwent unilateral salpingo-oophorectomy and those who underwent

bilateral salpingo-oophorectomy, there was no statistically significant difference in terms of BMI, preoperative CA-125

levels, FIGO stage, histology, tumor grade, lymphadenectomy, and adjuvant treatment.

Conclusion: Ovary-saving surgery for premenopausal, early-stage endometrial cancer patients may be considered as a

treatment option in those with low preoperative CA-125 and low tumor grade.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Recent advances of robotic surgery and single port laparoscopy in gynecologic oncology Yong Wook Jung ;Sang Wun Kim ;Young Tae Kim pp.137-144

Prognostic significance of neutropenia during adjuvant concurrent chemoradiotherapy in early cervical cancer Yun Hwan Kim ;Hyun Hoon Chung ;Jae Weon Kim ;Noh-Hyun Park ;Yong-Sang Song ;Soon-Beom Kang pp.146-150

Acute toxicity of cyclooxygenase-2 inhibitor rofecoxib as a radiosensitizer for concurrent chemoradiation in the treatement of uterine cervical cancer Yong Wook Jung ;San Hui Lee ;Ji Heum Paek ;Eun Ji Nam ;Sang Wun Kim ;Jae Hoon Kim ;Jae Wook Kim ;You pp.151-157

Prognostic factors in adult granulosa cell tumors of the ovary :a retrospective analysis of 80 cases Ali Ayhan ;Mehmet Coskun Salman ;Melih Velipasaoglu ;Mehmet Sakinci ;Kunter Yuce pp.158-163

Treatment of the patients with abnormal cervical cytology :a "see-and-treat" versus three-step strategy HanByoul Cho ;Jae-Hoon Kim pp.164-168

Correlation between preoperative serum levels of five biomarkers and relationships between these biomarkers and cancer stage in epithelial overian[i.e. ovarian] cancer Jongyun Hwang ;Sunghun Na ;Hyangah Lee ;Dongheon Lee pp.169-175

Clinical analysis of intra-operative frozen section proven borderline tumors of the ovary Jin Hwi Kim ;Tae Jung Kim ;Yong Gyu Park ;Sung Ha Lee ;Chung Won Lee ;Min Jong Song ;Keun Ho Lee ;So pp.176-180

Premenopausal early-stage endometrial carcinoma patients with low CA-125 levels and low tumor grade may undergo ovary-saving surgery Seung-Chul Yoo ;Jong-Hyuck Yoon ;Woo Young Kim ;Suk-Joon Chang ;Hee-Jae Joo ;Ki-Hong Chang ;Hee-Sug pp.181-186

A case of neutrophilia related to a cytokine-producing relapsed squamous cell carcinoma of the uterine cervix arising from the rectovaginal septum Geon Park ;Young Jin Park ;Yo Sup Lim ;Tae Gyu Ahn ;Sei Jun Han pp.187-191

A case of non-gestational choriocarcinoma arising in the ovary of a postmenopausal woman Sung Hye Park ;Ami Park ;Joo Yeon Kim ;Jeong Hee Kwon ;Suk Bong Koh pp.192-194

A single horn endometrial carcinoma of a uterus bicornis unicollis Cem Dane ;Zeynep Tatar ;Banu Dane ;Murat Erqinbas ;Ahmet Cetin pp.195-197

Different role of secondary cytoreductive surgery by surgeon's experience and hospital facility 임명철, 박상윤, 배재만 pp.199-199

International Federation of Gynecology and Obstetrics(FIGO) staging system revised : what should be considered critically for gynecologic cancer? 김희승, 송용상 pp.135-136

JSGO's 46th Biannual Meeting, July 10-12, 2009 Tetsuro Yahata pp.145-145

Prognostic factors of secondary cytoreductive surgery for patients with recurrent epithelial ovarian cancer 김기동, 유상영 pp.198-198

Role of high risk-human papilloma virus test in the follow-up of patients who underwent conization of the cervix for cervical intraepithelial neoplasia Journal of Gynecology Oncology pp.200-200

참고문헌 (29건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Endometrial cancer in young, normal-weight women. 네이버 미소장
2 Management of endometrial cancer 네이버 미소장
3 Synchronous primary cancers of the endometrium and ovary: a single institution review of 84 cases. 네이버 미소장
4 Coexisting Ovarian Malignancy in Young Women With Endometrial Cancer 네이버 미소장
5 Feasibility of ovarian preservation in patients with early stage endometrial carcinoma. 네이버 미소장
6 Zaino R, Whitney C, Brady MF, DeGeest K, Burger RA, Buller RE. Simultaneously detected endometrial and ovarian carcinomas: a prospective clinicopathologic study of 74 cases. A gynecologic oncology group study. Gynecol Oncol 2001; 83: 355-62. 미소장
7 Synchronous primary carcinomas of the endometrium and ovary 네이버 미소장
8 Synchronous endometrioid tumors of the ovary and endometrium. A clinicopathologic study of 22 cases. 네이버 미소장
9 Risk factors and recurrent patterns in Stage I endometrial cancer. 네이버 미소장
10 Relationship between surgical-pathological risk factors and outcome in clinical stage I and II carcinoma of the endometrium: a Gynecologic Oncology Group study. 네이버 미소장
11 Ovarian metastasis in endometrial carcinoma. 네이버 미소장
12 The significance of adnexal involvement in endometrial carcinoma. 네이버 미소장
13 Risk Factors for Young Premenopausal Women With Endometrial Cancer 네이버 미소장
14 Ovarian preservation during the surgical treatment of early stage endometrial cancer: a nation-wide study conducted by the Korean Gynecologic Oncology Group. 네이버 미소장
15 Metastatic and independent cancers of the endometrium and ovary: A clinicopathologic study of 34 cases 네이버 미소장
16 Elevation of serum CA125 in carcinomas of the fallopian tube, endometrium, and endocervix. 네이버 미소장
17 CA 125: a useful marker in endometrial carcinoma. 네이버 미소장
18 Serial serum CA 125 measurements for evaluation of recurrence in patients with endometrial carcinoma. 네이버 미소장
19 Predictive value of preoperative serum CA 125 levels in clinically localized and advanced endometrial carcinoma. 네이버 미소장
20 Serial CA 125 levels during chemotherapy for metastatic or recurrent endometrial cancer. 네이버 미소장
21 Value of Preoperative CA 125 Level in the Management of Uterine Cancer and Prediction of Clinical Outcome 네이버 미소장
22 Serum CA 125 Measurements to Identify Patients with Endometrial Cancer who Require Lymphadenectomy 네이버 미소장
23 Tumor marker CA 125 level and ovarian volume at different cycle day periods and in postmenopause 네이버 미소장
24 Prospective evaluation of serum CA 125 levels in a normal population, phase I: the specificities of single and serial determinations in testing for ovarian cancer. 네이버 미소장
25 Alagoz T, Buller RE, Berman M, Anderson B, Manetta A, DiSaia P. What is a normal CA125 level? Gynecol Oncol 1994; 53: 93-7. 미소장
26 Determination of a normal level of serum CA125 in postmenopausal women as a tool for preoperative evaluation and postoperative surveillance of endometrial carcinoma. 네이버 미소장
27 Dotters DJ. Preoperative CA-125 in endometrial cancer: is it useful? Am J Obstet Gynecol 2000; 182: 1328-34. 미소장
28 Safety of ovarian preservation in premenopausal women with endometrial cancer. 네이버 미소장
29 Ovarian preservation and staging in reproductive-age endometrial cancer patients 네이버 미소장

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