Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : May | Volume : 12 | Issue : 5 | Page : QC01 - QC05

Factors Affecting the Prognosis and Overall Survival in Patients with Uterine Papillary Serous Carcinoma

Incim Bezircioglu, Mehmet Hakan Yetimalar, Derya Kilic

1. Associate Professor, Department of Obstetrics and Gynaecology, Izmir Economy University Hospital, Izmir, Turkey. 2. Department of Obstetrics and Gynaecology, Izmir Economy University Hospital, Izmir, Turkey. 3. Assistant Professor, Department of Obstetrics and Gynaecology, Pamukkale University Hospital, Denizli, Turkey.

Correspondence Address :
Dr. Incim Bezircioglu,
Yenice Distinct, Mezbaha Street, 48/2, Urla-35430, Izmir, Turkey.


Introduction: Uterine Papillary Serous Carcinoma (UPSC) is a prototype of Type II Endometrial Cancers (EC) and represents 5-10% of all EC. It is clinically aggressive and responsible for over 50% of relapses and deaths in EC patients.

Aim: To investigate factors affecting the overall survival in patients with UPSC.

Materials and Methods: Forty-three women treated for UPSC between January 2006 and October 2015 were analysed retrospectively. Subjects were included if histology revealed a minimum of 10% component of serous carcinoma. Patients who required neoadjuvant therapy were excluded. All women underwent surgical treatment with at least total hysterectomy and bilateral salpingo-oophorectomy. The effect of age, tumour size, myometrial invasion, presence of malignant peritoneal cytology, lymph node metastasis, presence of the tumour outside the uterus and in the upper abdomen on the survival were investigated. The Kaplan-Meier method was used for survival analysis. Univariate analysis was used to evaluate the importance of each parameter and log rank test was used for significance. Significant parameters were analysed by multivariate Cox regression.

Results: Forty-three patients diagnosed and treated for UPSC were analysed. Out of them, 38 (88.4%) underwent surgical staging. Relapse and disease progression despite therapy was observed in 9 (20.9%) cases. The overall survival was estimated to be 46.5%.

Conclusion: The present study demonstrated that myometrial invasion, lymphovascular space involvement, and presence of a tumour in the upper abdomen were statistically significant parameters affecting the overall survival in UPSC patients.


Metastases, Papillary cell carcinoma, Retroperitoneal lymph node involvement, Type II endometrium cancer

How to cite this article :

Incim Bezircioglu, Mehmet Hakan Yetimalar, Derya Kilic. FACTORS AFFECTING THE PROGNOSIS AND OVERALL SURVIVAL IN PATIENTS WITH UTERINE PAPILLARY SEROUS CARCINOMA. Journal of Clinical and Diagnostic Research [serial online] 2018 May [cited: 2018 Aug 21 ]; 12:QC01-QC05. Available from

DOI and Others

DOI: 10.7860/JCDR/2018/28302.11454

Date of Submission: Mar 19, 2017
Date of Peer Review: Jun 04, 2017
Date of Acceptance: Jan 29, 2018
Date of Publishing: May 01, 2018


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