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Can concurrent high-risk endometrial carcinoma occur with atypical endometrial hyperplasia?

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Date

2018

Author

Erdem, Baki
Asicioglu, Osman
Seyhan, Niyazi Alper
Peker, Nuri
Ulker, Volkan
Akbayir, Ozgur

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Citation

Erdem, B., Aşıcıoğlu, O., Seyhan, N. A., Peker, N., Ülker, V., & Akbayır, Ö. (2018). Can concurrent high-risk endometrial carcinoma occur with atypical endometrial hyperplasia?. International Journal of Surgery, 53, 350-353.

Abstract

Background: This study investigated the frequency of high-risk cancer types in hysterectomy material obtained from patients who were diagnosed with atypical endometrial hyperplasia (AEH) by endometrial sampling. Materials and methods: A total of 227 patients with AEH were retrospectively included in the study. Hysterectomy material was examined as both perioperative frozen section (FS) and paraffin-embedded permanent section (PS). Grade III tumors, grade II tumors larger than 2 cm, over 50% myometrial invasion, cervical involvement, and serous or clear cell histology were considered high-risk. Results: In final pathology, 57 (25.1%) patients had endometrial cancer and 7 (3%) patients had high-risk cancer. Overall analysis of FS/PS agreement yielded a Cohen's Kappa (K) coefficient of 0.420 (moderate agreement). There was moderate (K=0.526) agreement between FS and PS in detecting tumor grade, and good agreement (K=0.653) in evaluation of myometrial invasion. Conclusion: High-risk endometrial cancer can coexist with AEH. It should be remembered that despite pre-operative and FS examinations, these high-risk tumors can be overlooked until final pathology.

Source

International Journal of Surgery

Volume

53

URI

https://doi.org/10.1016/j.ijsu.2018.04.019
https://hdl.handle.net/20.500.12713/792

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  • Scopus İndeksli Yayınlar Koleksiyonu [1424]
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