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Grade 1 Endometrioid Carcinoma With an Area of Serous Carcinoma Less than 5% Is More Aggressive than Stage IA
Morikazu Miyamoto1, Hitoshi Tsuda2, Atsushi Sugiura3
1Department of Obstetrics and Gynecology, National Defense Medical College Hospital, Saitama, Japan; mmiyamoto@ndmc.ac.jp.
Background/Aim:
In 2020, the percentages were removed from the World Health Organization's criteria for mixed carcinoma. The aim was to examine the clinical significance of an area of serous carcinoma (SC) <5%.
Patients And Methods:
Our study included 236 patients with the 2009 International Federation of Obstetrics and Gynecology (FIGO) stage IA grade 1 endometrioid carcinoma (EG1) from multiple hospitals. EG1 patients with an area of SC <5% and those with pure-type EG1 were retrospectively compared.
Results:
In the multivariate analysis for recurrence, an area of SC <5% was an independent risk factor [hazard ratio (HR)=101.51, p<0.01]. In the multivariate analysis for progression-free survival, an area of SC <5% was identified as a negative prognostic factor (HR=62.43, p<0.01).
Conclusion:
EG1 with an area of SC <5% may be more aggressive than pure-type EG1 at FIGO stage IA.
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