Studies in the area of adenocarcinoma reported from University of Western Ontario
2009 JUL 9 - (NewsRx.com) -- In this recently published study, investigators in London, Canada conducted a study "To estimate the incidence of incidental miscellaneous uterine malignant neoplasms other than endometrioid adenocarcinoma detected during routine resectoscopic surgery in women with abnormal uterine bleeding (AUB) and to examine file effect of hysteroscopic surgery on long-term clinical Outcome. Prospective cohort study (Canadian Task Force classification II-3)." "University-affiliated leaching hospital. Women with AUB. From January 1, 1990, through December 31, 2008, one of the authors (G.A.V.) and several fellows performed primary hysteroscopic surgery at St. Joseph's Health Care in 3892 women with AUB. Of the 7 with malignant disease, one underwent hysteroscopic partial (n = 1) or complete (n = 6) rollerball electrocoagulation or endomyometrial resection. After diagnosis of uterine cancer, the women were counseled about the disease and management in accord with established clinical practice guidelines. Follow-up with office visits and telephone interviews ranged from 2 to 8 years (median, 6 years). Of the 3892 women, 4 had undiagnosed and 3 had Suspected miscellaneous uterine malignant neoplasms including 1 endometrial stromal sarcoma, 2 carcinosarcomas. 2 atypical polypoid adenomyomas of the endometrium, 1 minimal deviation adenocarcinoma of the cervix, and 1 smooth-muscle tumor of uncertain malignant potential. At 2 to 8 years of follow-up, 1 patient died accidentally after 1 year, 1 died of carcinomatosis of either coexisting breast cancer or a carcinosarcoma (postmortem examination was declined after 1 year, and 5 were alive and well. Resectoscopic surgery in women with miscellaneous uterine malignant lesions not adversely affect 5-year survival and long-term prognosis," wrote G.A. Vilos and colleagues, University of Western Ontario. The researchers concluded: "Journal of Minimally Invasive Gynecology (2009) 16." Vilos and colleagues published their study in the Journal of Minimally Invasive Gynecology (Miscellaneous Uterine Malignant Neoplasms Detected during Hysteroscopic Surgery. Journal of Minimally Invasive Gynecology, 2009;16(3):318-325). For additional information, contact G.A. Vilos, University of Western Ontario, St. Josephs Health Center, Dept. of Obstetrics & Gynecology, 268 Grosvenor St., London, ON N6A 4V2, Canada. The publisher of the Journal of Minimally Invasive Gynecology can be contacted at: Elsevier Science Inc., 360 Park Avenue South, New York, NY 10010-1710, USA. Keywords: Canada, London, Adenocarcinoma, Carcinosarcoma, Clinical Trial Research, Endometrial Cancer, Endometrial Carcinoma, Gynecology, Leiomyoma, Neoplasms, Oncology, Sarcoma, Surgery, Uterine Cancer, Uterine Carcinoma, Women's Health, University of Western Ontario. This article was prepared by Women's Health Weekly editors from staff and other reports. Copyright 2009, Women's Health Weekly via NewsRx.com.
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