Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Diabetes mellitus is a multivariate independent prognostic factor in endometrial carcinoma: A clinicopathologic study on 313 patients
1Department of Ohsterics and Gynaecology , Johannes Gutenberg-University, Mainz, Germany
2Institute for Medical Biometry, Epidemiology and Statistics, Johannes Gutenberg-University, Mauzz, Germany
3Institute for Forensic Tr!xicology, University of Leipzig, Germany
4Department of Gynaecology, Hokkaido University Graduate School of Medicine and School of Medicine, Sapporo, Japan
*Corresponding Author(s): E. Steiner E-mail:
Objective: The aim of this study was to analyse the influence of diabetes mellitns as a prognostic factor for overall survival in endometrial cancer. Materials and Methods: Charts were reviewed from patients with endometrial carcinoma from 1985 to 2003. Data on clinicopathologic variables, adjuvant treatment, site of recurrence and survival were collected. The chi-square test was nsed to examine associations between variables. The Kaplan-Meier method was used for survival analysis and Cox's proportional hazards model for multiple regression analysis. Results: Multivariate analysis revealed that diabetes mellitus, FIGO stage and depth of myometrial invasion were significantly associated with overall survival.
Endometrial cancer: Diabetes mellitus; Prognostic factor: Overall survival
E. Steiner,K. Plata,C. lnterthal,M. Schmidt,A. Faldum,J. G. Hengstler,N. Sakuragi,H. Watari,R. Yamamoto,H. Kolbl. Diabetes mellitus is a multivariate independent prognostic factor in endometrial carcinoma: A clinicopathologic study on 313 patients . European Journal of Gynaecological Oncology. 2007. 28(2);95-97.
[I] Folsom A.R., Anderson K.E., Sweeney C., Jacobs D.R. Jr.: "Dia betes as a risk factor for death following endometrial cancer". Gynecol. Oneal., 2004, 94, 740.
[2] Steiner E., Eicher 0., Sagemiiller J., Schmidt M., Pilch H., Tanner B. et al.: "Multivariate independent prognostic factors in endometrial carcinoma: A clinicopathologic study in 181 patients: 10 years experience at the Department of Obstetrics and Gynecology of Mainz University". Int. J. Gynecol. Cancer, 2003, 13, 197.
[3] Creasman W.T.: "Announcement. FIGO stages 1988 revisions". Gynecol. Oneal., 1989, 35, 125 7.
[4] Scully R.E., Poulson H., Sobin L.H.: "International Classification and Histologic Typing of Female Genital Tract Tumours". New York, Springer, 1994.
[5] Kurman R.J., Zaino R.J., Norris H.J.: "Endometrial carcinoma". In: Kurman R.J. (ed.). Blaustein's Pathology of the Female Genital Tract, 4'" edition, New York, Springer, 1994, 439.
[6] Sevin 8.-U., Angioli R.: "Uterine Corpus: Multimodality Therapy in Gynecologic Oncology". New York, Thieme, 1996.
[7] Mammoliti S., Bruzzone M., Chiara S.: "Clinical Stage I and II endometrial carcinoma: multivariate analysis of prognostic factors". Anticancer Res., 1992, 12, 1415.
[8] Vecek N., Nola M., Marusic M. et al.: "Prognostic value of steroid hormone receptors concentration in patients with endometrial cancer". Acta Obstet. Gynecol. Scand., 1994, 73, 730.
[9] Lindahl 8., Ranstam J., Norgren A., Willen R.: "Identification of high-risk groups in endometrial carcinoma Stage I-II". Anticancer Res., 1995, 15, 1095.
[10] Leminen A., Forss M., Lehtovirta P.: "Endometrial adenocarcinoma with clinical evidence of cervical involvement: Accuracy of diagnostic procedures, clinical course and prognostic factors". Acta Obstet. Gynecol. Scand., 1995, 74, 61.
[11 ] Ehrlich C.E., Young P.C.M., Stehmann F.B., Sutton G.P., Alford W.M.: "Steroid receptors and clinical outcome in patients with adenocarcinoma of the endometrium". Am. J. Obstet. Gynecol., 1988, I 58, 796.
[12] Wagenius G., Strang P., Bergstrom R., Stendahl U., Tribukait B.: "Prognostic indices in endometrial adenocarcinoma Stages I and II". Anticancer Res., 1991, 11, 2137.
[13] Kadar N., Malfetano J.H., Homesley H.D.: "Determinants of survival of surgically staged patients with endometrial carcinoma histologically confined to the uterus: implications for therapy". Obstet. Gynecol., 1992, 80, 655.
[14] Creasman W.T.: "Prognostic significance of hormone receptors in endometrial carcinoma". Cancer, 1993, 60, 2035.
[15] Eifel P.J., Ross J., Hendrickson M., Cox R.S., Kempson R., Martinez A.: "Adenocarcinoma of the endometrium". Cancer, 1983, 52, 1026.
[16] Tabernero L.M., Alonso M.C., Ojeda 8. et al.: "Endometrial cancer Stages I and II". Eur. J. Gynecol. Oncol., 1995, 16, 18.
[17] Malkasian G.D., Annegers J.F., Fountain K.S.: "Carcinoma of the endometrium Stage I". Am. J. Obstet. Gynecol., 1980, 136, 872.
[18] Rose P.G.: "Endometrial carcinoma". N. Engl. J. Med., 1996, 335, 640.
[19] Furberg A.-S., Thune I.: "Metabolic abnormalities (hypertension, hyperglycemia and overweight), lifestyle (high energy intake and physical inactivity) and endometrial cancer risk in a Norwegian cohort". 1nt. J. Cancer, 2003, 104, 669.
[20] Nagamani M., Stuart C.A.: "Specific binding and growth-promoting activity of insulin in endometrial cancer cells in culture". Am. J. Obstet. Gynecol., 1998, 179, 6.
Web of Science (WOS) (On Hold)
Journal Citation Reports/Science Edition
Google Scholar
JournalSeek
Top