DNA index by image analysis in advanced endometrial carcinoma

Background Endometrial carcinoma is the most common gynecologic malignancy in developed countries, affecting an estimated 140,000 women. More than 32,000 women will be diagnosed with endometrial cancer this year in the United States, and approximately 6,000 will die from this disease. Methods Twenty...

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Veröffentlicht in:Journal of surgical oncology 1996-10, Vol.63 (2), p.91-94
Hauptverfasser: Geisler, John P., Wiemann, Michael C., Zhou, Zhen, Miller, Greg A., Geisler, Hans E.
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container_end_page 94
container_issue 2
container_start_page 91
container_title Journal of surgical oncology
container_volume 63
creator Geisler, John P.
Wiemann, Michael C.
Zhou, Zhen
Miller, Greg A.
Geisler, Hans E.
description Background Endometrial carcinoma is the most common gynecologic malignancy in developed countries, affecting an estimated 140,000 women. More than 32,000 women will be diagnosed with endometrial cancer this year in the United States, and approximately 6,000 will die from this disease. Methods Twenty consecutive patients, surgically treated, with advanced endometrial cancer, were evaluated for their DNA index (DI), time to recurrence, peritoneal cytology, depth of invasion, lymphovascular space invasion, as well as FIGO stage, grade, and histology. DI was determined using image analysis. Results Ten of the 20 patients had recurrence of their disease within the 3‐year observation period of the study. A DI of ≥ 1.2 strongly predicted recurrence of disease (P = 0.002). Increasing histologic grade and an increasing DI were related (P = 0.01). Conclusion Independent of other prognostic indicators, including lymphovascular space invasion, depth of invasion, and histologic type, a tumor with a DI of ≥ 1.2, had a significantly increased chance of recurring within the 3‐year observation period. © 1996 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1096-9098(199610)63:2<91::AID-JSO4>3.0.CO;2-J
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More than 32,000 women will be diagnosed with endometrial cancer this year in the United States, and approximately 6,000 will die from this disease. Methods Twenty consecutive patients, surgically treated, with advanced endometrial cancer, were evaluated for their DNA index (DI), time to recurrence, peritoneal cytology, depth of invasion, lymphovascular space invasion, as well as FIGO stage, grade, and histology. DI was determined using image analysis. Results Ten of the 20 patients had recurrence of their disease within the 3‐year observation period of the study. A DI of ≥ 1.2 strongly predicted recurrence of disease (P = 0.002). Increasing histologic grade and an increasing DI were related (P = 0.01). Conclusion Independent of other prognostic indicators, including lymphovascular space invasion, depth of invasion, and histologic type, a tumor with a DI of ≥ 1.2, had a significantly increased chance of recurring within the 3‐year observation period. © 1996 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/(SICI)1096-9098(199610)63:2&lt;91::AID-JSO4&gt;3.0.CO;2-J</identifier><identifier>PMID: 8888800</identifier><identifier>CODEN: JSONAU</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Biological and medical sciences ; Carcinoma - genetics ; Carcinoma - pathology ; DNA index ; DNA, Neoplasm - analysis ; endometrial carcinoma ; Endometrial Neoplasms - genetics ; Endometrial Neoplasms - pathology ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Middle Aged ; Multivariate Analysis ; Neoplasm Invasiveness ; Neoplasm Staging ; Predictive Value of Tests ; Prognosis ; recurrence ; Risk Factors ; Tumors</subject><ispartof>Journal of surgical oncology, 1996-10, Vol.63 (2), p.91-94</ispartof><rights>Copyright © 1996 Wiley‐Liss, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4574-2e7aa05dbbf9cdd2dec13d0fdffb756a00a2dc991e21cca1f256c402f92871d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291096-9098%28199610%2963%3A2%3C91%3A%3AAID-JSO4%3E3.0.CO%3B2-J$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291096-9098%28199610%2963%3A2%3C91%3A%3AAID-JSO4%3E3.0.CO%3B2-J$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2477220$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8888800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geisler, John P.</creatorcontrib><creatorcontrib>Wiemann, Michael C.</creatorcontrib><creatorcontrib>Zhou, Zhen</creatorcontrib><creatorcontrib>Miller, Greg A.</creatorcontrib><creatorcontrib>Geisler, Hans E.</creatorcontrib><title>DNA index by image analysis in advanced endometrial carcinoma</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background Endometrial carcinoma is the most common gynecologic malignancy in developed countries, affecting an estimated 140,000 women. More than 32,000 women will be diagnosed with endometrial cancer this year in the United States, and approximately 6,000 will die from this disease. Methods Twenty consecutive patients, surgically treated, with advanced endometrial cancer, were evaluated for their DNA index (DI), time to recurrence, peritoneal cytology, depth of invasion, lymphovascular space invasion, as well as FIGO stage, grade, and histology. DI was determined using image analysis. Results Ten of the 20 patients had recurrence of their disease within the 3‐year observation period of the study. A DI of ≥ 1.2 strongly predicted recurrence of disease (P = 0.002). Increasing histologic grade and an increasing DI were related (P = 0.01). Conclusion Independent of other prognostic indicators, including lymphovascular space invasion, depth of invasion, and histologic type, a tumor with a DI of ≥ 1.2, had a significantly increased chance of recurring within the 3‐year observation period. © 1996 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - genetics</subject><subject>Carcinoma - pathology</subject><subject>DNA index</subject><subject>DNA, Neoplasm - analysis</subject><subject>endometrial carcinoma</subject><subject>Endometrial Neoplasms - genetics</subject><subject>Endometrial Neoplasms - pathology</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Staging</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>recurrence</subject><subject>Risk Factors</subject><subject>Tumors</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF1v0zAUhi3ENMrgJyDlArHtIuXYcey4G0hVBqNVWS8KQuLmyLEdFMjHiFtY__0cWlVIoPnG8vGrx68fQi4ojCkAe322muWzcwpKxApUdkaVEhTORTJhl4pOJtPZVTxfLfnbZAzjfHnB4vkjMjrkH5NRoLCYSwVPyFPvvwNAQPBjcpwNC2BE3lzdTKOqte4uKrZR1ehvLtKtrre-8mEeaftLt8bZyLW2a9y6r3QdGd2bqu0a_Ywclbr27vl-PyGf37_7lH-IF8vrWT5dxIanksfMSa0htUVRKmMts87QxEJpy7KQqdAAmlmjFHWMGqNpyVJhOLBSsUxSmyQn5NWOe9t3PzfOr7GpvHF1rVvXbTzKjEuaChGCpw8HU55JJVIIydUuafrO-96VeNuH7_dbpICDfsRBPw46cdCJO_0oEmSoKGLQj4N-TBAwX4bpPFBf7N_fFI2zB-bed7h_ub_X3ui67IPcyh9ijEvJ2F_lfle12_7T7OFi_-n15xyo8Y5a-bW7O1B1_wOFTGSKX26u8eOCK8rTHL8m98-Pumg</recordid><startdate>199610</startdate><enddate>199610</enddate><creator>Geisler, John P.</creator><creator>Wiemann, Michael C.</creator><creator>Zhou, Zhen</creator><creator>Miller, Greg A.</creator><creator>Geisler, Hans E.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TM</scope><scope>7X8</scope></search><sort><creationdate>199610</creationdate><title>DNA index by image analysis in advanced endometrial carcinoma</title><author>Geisler, John P. ; Wiemann, Michael C. ; Zhou, Zhen ; Miller, Greg A. ; Geisler, Hans E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4574-2e7aa05dbbf9cdd2dec13d0fdffb756a00a2dc991e21cca1f256c402f92871d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma - genetics</topic><topic>Carcinoma - pathology</topic><topic>DNA index</topic><topic>DNA, Neoplasm - analysis</topic><topic>endometrial carcinoma</topic><topic>Endometrial Neoplasms - genetics</topic><topic>Endometrial Neoplasms - pathology</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Staging</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>recurrence</topic><topic>Risk Factors</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geisler, John P.</creatorcontrib><creatorcontrib>Wiemann, Michael C.</creatorcontrib><creatorcontrib>Zhou, Zhen</creatorcontrib><creatorcontrib>Miller, Greg A.</creatorcontrib><creatorcontrib>Geisler, Hans E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nucleic Acids Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geisler, John P.</au><au>Wiemann, Michael C.</au><au>Zhou, Zhen</au><au>Miller, Greg A.</au><au>Geisler, Hans E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DNA index by image analysis in advanced endometrial carcinoma</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. 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subjects Aged
Biological and medical sciences
Carcinoma - genetics
Carcinoma - pathology
DNA index
DNA, Neoplasm - analysis
endometrial carcinoma
Endometrial Neoplasms - genetics
Endometrial Neoplasms - pathology
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Multivariate Analysis
Neoplasm Invasiveness
Neoplasm Staging
Predictive Value of Tests
Prognosis
recurrence
Risk Factors
Tumors
title DNA index by image analysis in advanced endometrial carcinoma
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