Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer

REİS, Yıldız; KARALÖK, Mustafa Alper; TURAN, Ahmet Taner; KÖSE, Mehmet Faruk; ÜREYEN, Isin; TULUNAY, Gökhan; Bülbül, Dilek; BORAN, Nurettin; OKTAY, Özge

Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer

Mustafa Alper KARALÖK, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Işın ÜREYEN, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Yıldız REİS, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Özge OKTAY, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Ahmet Taner TURAN, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Nurettin BORAN, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Dilek BÜLBÜL, (Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, Ankara, Türkiye)

Gökhan TULUNAY, (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Mehmet Faruk KÖSE (SB Etlik Zübeyde Hanım Kadın Hastalıkları ve Doğum Hastanesi, Jinekolojik Onkoloji Kliniği, Ankara, Türkiye)

Journal of the Turkish-German Gynecological Association

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Yıl: 2014 Cilt: 15 Sayı: 1 Sayfa Aralığı: 41 - 48 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer

Öz:

Objective: To investigate the likelihood of the detection of the necessity of staging preoperatively with the use of clinical parameters and frozen/ section (FS). Material and Methods: 219 patients were included who were operated on between 1996 and 2010 with a diagnosis of grade 1 endometrioid adenocarcinoma in probe curettage. Results: Among the clinical characteristics, only age and body mass index (BMI) predicted staging preoperatively. The probability of staging increased as age increased and BMI decreased. The concordance between preoperative diagnosis and FS was 89.5%. The diagnosis was up- graded at postoperative evaluation for 13 patients (5.9%), and downgraded for 2 patients (0.9%) compared with FS. The wrong diagnosis regard- ing grade, the depth of myometrial invasion DMI, tumour type and cervical invasion in FS was clinically significant and affected the decision of staging in 10 patients. In conclusion, only 7 patients (3.2%) who acquired staging surgery were missed in FS. Conclusion: It was shown that preoperative clinical parameters could not effectively predict the patients who should be staged. FS predicted the lymphatic involvement with high accuracy. The patient with a preoperative diagnosis of grade 1 endometrium cancer should be operated upon in centres where FS is utilised and oncologic staging surgery can be performed. (J Turk Ger Gynecol Assoc 2014; 15: 41-8)

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARALÖK M, ÜREYEN I, REİS Y, OKTAY Ö, TURAN A, BORAN N, Bülbül D, TULUNAY G, KÖSE M (2014). Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. , 41 - 48.
Chicago	KARALÖK Mustafa Alper,ÜREYEN Isin,REİS Yıldız,OKTAY Özge,TURAN Ahmet Taner,BORAN Nurettin,Bülbül Dilek,TULUNAY Gökhan,KÖSE Mehmet Faruk Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. (2014): 41 - 48.
MLA	KARALÖK Mustafa Alper,ÜREYEN Isin,REİS Yıldız,OKTAY Özge,TURAN Ahmet Taner,BORAN Nurettin,Bülbül Dilek,TULUNAY Gökhan,KÖSE Mehmet Faruk Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. , 2014, ss.41 - 48.
AMA	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. . 2014; 41 - 48.
Vancouver	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. . 2014; 41 - 48.
IEEE	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M "Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer." , ss.41 - 48, 2014.
ISNAD	KARALÖK, Mustafa Alper vd. "Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer". (2014), 41-48.

APA	KARALÖK M, ÜREYEN I, REİS Y, OKTAY Ö, TURAN A, BORAN N, Bülbül D, TULUNAY G, KÖSE M (2014). Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. Journal of the Turkish-German Gynecological Association, 15(1), 41 - 48.
Chicago	KARALÖK Mustafa Alper,ÜREYEN Isin,REİS Yıldız,OKTAY Özge,TURAN Ahmet Taner,BORAN Nurettin,Bülbül Dilek,TULUNAY Gökhan,KÖSE Mehmet Faruk Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. Journal of the Turkish-German Gynecological Association 15, no.1 (2014): 41 - 48.
MLA	KARALÖK Mustafa Alper,ÜREYEN Isin,REİS Yıldız,OKTAY Özge,TURAN Ahmet Taner,BORAN Nurettin,Bülbül Dilek,TULUNAY Gökhan,KÖSE Mehmet Faruk Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. Journal of the Turkish-German Gynecological Association, vol.15, no.1, 2014, ss.41 - 48.
AMA	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. Journal of the Turkish-German Gynecological Association. 2014; 15(1): 41 - 48.
Vancouver	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer. Journal of the Turkish-German Gynecological Association. 2014; 15(1): 41 - 48.
IEEE	KARALÖK M,ÜREYEN I,REİS Y,OKTAY Ö,TURAN A,BORAN N,Bülbül D,TULUNAY G,KÖSE M "Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer." Journal of the Turkish-German Gynecological Association, 15, ss.41 - 48, 2014.
ISNAD	KARALÖK, Mustafa Alper vd. "Prediction of staging with preoperative parameters and frozen/section in patients with a preoperative diagnosis of grade 1 endometrioid tumor in endometrial cancer". Journal of the Turkish-German Gynecological Association 15/1 (2014), 41-48.