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Debate 32A - How Should Stage IA Serous Papillary Endometrial Cancer Confined to a Polyp or the Endometrial Lining be Managed?

Observation

from Section IV - Endometrial Cancer

Published online by Cambridge University Press:  20 July 2023

Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

Uterine papillary serous cancer (UPSC) accounts for only 10% of endometrial malignancies, however, attributes to over 50% of endometrial cancer deaths annually [1]. USPC is commonly more aggressive than the endometrioid subtype, with a higher propensity for lymphovascular invasion as well as intraperitoneal and intra-abdominal spread at time of diagnosis.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

del Carmen, MG, et al. Uterine papillary serous cancer: a review of the literature. Gynecol Oncol 2012;127(3):651661.CrossRefGoogle Scholar
Abu-Rustum, NR, et al. NCCN Guidelines® Insights: Uterine Neoplasms, Version 3.2021. J Natl Compr Canc Netw 2021;19(8):888895.CrossRefGoogle ScholarPubMed
van der Putten, LJ, et al. Population-based treatment and outcomes of stage I uterine serous carcinoma. Gynecol Oncol 2014;132(1):6164.CrossRefGoogle ScholarPubMed
Velker, V, et al. Role of adjuvant therapy for stage ia serous and clear cell uterine cancer: is observation a valid strategy? Int J Gynecol Cancer 2016;26(3):491496.CrossRefGoogle ScholarPubMed
Mysona, DP, et al. Clinical calculator predictive of chemotherapy benefit in stage 1 A uterine papillary serous cancers. Gynecol Oncol 2020;156(1):7784.CrossRefGoogle ScholarPubMed

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