Inspection for micrometastasis is essential for predicting the prognosis of serous endometrial intraepithelial carcinoma: Case report and literature review
Serous endometrial intraepithelial carcinoma is the precursor of invasive uterine serous carcinoma. Here, we present two cases of serous endometrial intraepithelial carcinoma with omental micrometastasis and discuss their clinical significance. Two menopausal patients with abnormal endometrial biops...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2021-12, Vol.47 (12), p.4484-4489 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Yoshioka, Toshiki Suzuki, Yukio Imai, Yuichi Ruiz‐Yokota, Naho Yamanaka, Shoji Furuya, Mitsuko Miyagi, Etsuko |
| description | Serous endometrial intraepithelial carcinoma is the precursor of invasive uterine serous carcinoma. Here, we present two cases of serous endometrial intraepithelial carcinoma with omental micrometastasis and discuss their clinical significance. Two menopausal patients with abnormal endometrial biopsy findings underwent hysterectomy and comprehensive surgical staging (bilateral salpingo‐oophorectomy, omentectomy, and pelvic and para‐aortic lymphadenectomy). Although gross examination failed to detect tumors, the pathological diagnosis was serous endometrial intraepithelial carcinoma. Both patients had omental micrometastasis; they were diagnosed with International Federation of Gynecology and Obstetrics stage IVB disease and received postoperative chemotherapy. One patient died of the carcinoma 9 months after the hysterectomy, and the other had a recurrence of carcinoma 17 months after the end of the initial therapy. The present cases and literature review highlight the importance of meticulous inspection for micrometastasis in the abdominal cavity, including the omentum and peritoneum, for predicting prognosis. |
| doi_str_mv | 10.1111/jog.15020 |
| format | Article |
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Here, we present two cases of serous endometrial intraepithelial carcinoma with omental micrometastasis and discuss their clinical significance. Two menopausal patients with abnormal endometrial biopsy findings underwent hysterectomy and comprehensive surgical staging (bilateral salpingo‐oophorectomy, omentectomy, and pelvic and para‐aortic lymphadenectomy). Although gross examination failed to detect tumors, the pathological diagnosis was serous endometrial intraepithelial carcinoma. Both patients had omental micrometastasis; they were diagnosed with International Federation of Gynecology and Obstetrics stage IVB disease and received postoperative chemotherapy. One patient died of the carcinoma 9 months after the hysterectomy, and the other had a recurrence of carcinoma 17 months after the end of the initial therapy. The present cases and literature review highlight the importance of meticulous inspection for micrometastasis in the abdominal cavity, including the omentum and peritoneum, for predicting prognosis.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.15020</identifier><identifier>PMID: 34494349</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Aorta ; Biopsy ; Cancer ; Carcinoma in Situ ; Case reports ; Chemotherapy ; cystadenocarcinoma ; Cystadenocarcinoma, Serous - surgery ; Endometrial cancer ; endometrial neoplasms ; Endometrial Neoplasms - diagnosis ; Endometrial Neoplasms - pathology ; Endometrial Neoplasms - therapy ; Endometrium ; Female ; Gynecology ; Humans ; Hysterectomy ; Invasiveness ; Life Sciences & Biomedicine ; Literature reviews ; Menopause ; Neoplasm Micrometastasis ; Neoplasm Staging ; Obstetrics ; Obstetrics & Gynecology ; Omentum ; Ovariectomy ; Patients ; Peritoneum ; Prognosis ; Science & Technology ; serous ; Tumors ; Uterus</subject><ispartof>The journal of obstetrics and gynaecology research, 2021-12, Vol.47 (12), p.4484-4489</ispartof><rights>2021 Japan Society of Obstetrics and Gynecology.</rights><rights>2021 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>2</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000693449700001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c4430-bc43fb3ad7c8a5d5554cc6e0ac2ac94262ed9bf9be97120e613ffb7a49b493803</citedby><cites>FETCH-LOGICAL-c4430-bc43fb3ad7c8a5d5554cc6e0ac2ac94262ed9bf9be97120e613ffb7a49b493803</cites><orcidid>0000-0002-2178-6562 ; 0000-0002-5492-0844 ; 0000-0003-0482-443X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.15020$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.15020$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,39263,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34494349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshioka, Toshiki</creatorcontrib><creatorcontrib>Suzuki, Yukio</creatorcontrib><creatorcontrib>Imai, Yuichi</creatorcontrib><creatorcontrib>Ruiz‐Yokota, Naho</creatorcontrib><creatorcontrib>Yamanaka, Shoji</creatorcontrib><creatorcontrib>Furuya, Mitsuko</creatorcontrib><creatorcontrib>Miyagi, Etsuko</creatorcontrib><title>Inspection for micrometastasis is essential for predicting the prognosis of serous endometrial intraepithelial carcinoma: Case report and literature review</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J OBSTET GYNAECOL RE</addtitle><addtitle>J Obstet Gynaecol Res</addtitle><description>Serous endometrial intraepithelial carcinoma is the precursor of invasive uterine serous carcinoma. Here, we present two cases of serous endometrial intraepithelial carcinoma with omental micrometastasis and discuss their clinical significance. Two menopausal patients with abnormal endometrial biopsy findings underwent hysterectomy and comprehensive surgical staging (bilateral salpingo‐oophorectomy, omentectomy, and pelvic and para‐aortic lymphadenectomy). Although gross examination failed to detect tumors, the pathological diagnosis was serous endometrial intraepithelial carcinoma. Both patients had omental micrometastasis; they were diagnosed with International Federation of Gynecology and Obstetrics stage IVB disease and received postoperative chemotherapy. One patient died of the carcinoma 9 months after the hysterectomy, and the other had a recurrence of carcinoma 17 months after the end of the initial therapy. The present cases and literature review highlight the importance of meticulous inspection for micrometastasis in the abdominal cavity, including the omentum and peritoneum, for predicting prognosis.</description><subject>Aorta</subject><subject>Biopsy</subject><subject>Cancer</subject><subject>Carcinoma in Situ</subject><subject>Case reports</subject><subject>Chemotherapy</subject><subject>cystadenocarcinoma</subject><subject>Cystadenocarcinoma, Serous - surgery</subject><subject>Endometrial cancer</subject><subject>endometrial neoplasms</subject><subject>Endometrial Neoplasms - diagnosis</subject><subject>Endometrial Neoplasms - pathology</subject><subject>Endometrial Neoplasms - therapy</subject><subject>Endometrium</subject><subject>Female</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Invasiveness</subject><subject>Life Sciences & Biomedicine</subject><subject>Literature reviews</subject><subject>Menopause</subject><subject>Neoplasm Micrometastasis</subject><subject>Neoplasm Staging</subject><subject>Obstetrics</subject><subject>Obstetrics & Gynecology</subject><subject>Omentum</subject><subject>Ovariectomy</subject><subject>Patients</subject><subject>Peritoneum</subject><subject>Prognosis</subject><subject>Science & Technology</subject><subject>serous</subject><subject>Tumors</subject><subject>Uterus</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkd-K1TAQxoMo7rp64QtIwRtFupt_bRrvpOi6srA3el3SdHrMoU1qkrrss_iyTvcc90IQDAOZCb9vmMlHyEtGzxmei33YnbOKcvqInDIpVUlVVT_GXEhWNlTVJ-RZSntKmdKseUpOhJRaCqlPya8rnxaw2QVfjCEWs7MxzJBNwnCpwICUwGdnpntgiTA45P2uyN8By7DzYSPDWCSIYUWBH7YWcZM4n6OBxSE7bbU10TofZvO-aE2CIsISYi6MH4rJZYgmr3F7_eng9jl5MpopwYvjfUa-ffr4tf1cXt9cXrUfrksrpaBlb6UYe2EGZRtTDVVVSWtroMZyY7XkNYdB96PuQSvGKdRMjGOvjNS91KKh4oy8OfTFZX6skHI3u2RhmowH3KfjlaJCCc05oq__QvdhjR6n63hNpeaCU4XU2wOFf5lShLFboptNvOsY7TbHULXr7h1D9tWx49rPMDyQfyxCoDkAt9CHMVkH3sIDRimt9cYqzChrXTabl21YfUbpu_-XIn1xpN0Ed_8euftyc3mY_Td0JMSm</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Yoshioka, Toshiki</creator><creator>Suzuki, Yukio</creator><creator>Imai, Yuichi</creator><creator>Ruiz‐Yokota, Naho</creator><creator>Yamanaka, Shoji</creator><creator>Furuya, Mitsuko</creator><creator>Miyagi, Etsuko</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</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>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2178-6562</orcidid><orcidid>https://orcid.org/0000-0002-5492-0844</orcidid><orcidid>https://orcid.org/0000-0003-0482-443X</orcidid></search><sort><creationdate>202112</creationdate><title>Inspection for micrometastasis is essential for predicting the prognosis of serous endometrial intraepithelial carcinoma: Case report and literature review</title><author>Yoshioka, Toshiki ; 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Here, we present two cases of serous endometrial intraepithelial carcinoma with omental micrometastasis and discuss their clinical significance. Two menopausal patients with abnormal endometrial biopsy findings underwent hysterectomy and comprehensive surgical staging (bilateral salpingo‐oophorectomy, omentectomy, and pelvic and para‐aortic lymphadenectomy). Although gross examination failed to detect tumors, the pathological diagnosis was serous endometrial intraepithelial carcinoma. Both patients had omental micrometastasis; they were diagnosed with International Federation of Gynecology and Obstetrics stage IVB disease and received postoperative chemotherapy. One patient died of the carcinoma 9 months after the hysterectomy, and the other had a recurrence of carcinoma 17 months after the end of the initial therapy. The present cases and literature review highlight the importance of meticulous inspection for micrometastasis in the abdominal cavity, including the omentum and peritoneum, for predicting prognosis.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34494349</pmid><doi>10.1111/jog.15020</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2178-6562</orcidid><orcidid>https://orcid.org/0000-0002-5492-0844</orcidid><orcidid>https://orcid.org/0000-0003-0482-443X</orcidid></addata></record> |
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| subjects | Aorta Biopsy Cancer Carcinoma in Situ Case reports Chemotherapy cystadenocarcinoma Cystadenocarcinoma, Serous - surgery Endometrial cancer endometrial neoplasms Endometrial Neoplasms - diagnosis Endometrial Neoplasms - pathology Endometrial Neoplasms - therapy Endometrium Female Gynecology Humans Hysterectomy Invasiveness Life Sciences & Biomedicine Literature reviews Menopause Neoplasm Micrometastasis Neoplasm Staging Obstetrics Obstetrics & Gynecology Omentum Ovariectomy Patients Peritoneum Prognosis Science & Technology serous Tumors Uterus |
| title | Inspection for micrometastasis is essential for predicting the prognosis of serous endometrial intraepithelial carcinoma: Case report and literature review |
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