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Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer
Leiomyomas, adenomyosis, and endometriosis are reported to be risk factors for endometrial carcinoma (EC), and adenomyosis and endometriosis also for ovarian carcinoma (OC). We aimed to describe the prevalence of these conditions in EC patients with or without an OC diagnosis, and to investigate the...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Nature Publishing Group UK
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046700/ https://www.ncbi.nlm.nih.gov/pubmed/32108150 http://dx.doi.org/10.1038/s41598-020-59916-1 |
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author | Johnatty, Sharon E. Stewart, Colin J. R. Smith, Deborah Nguyen, Anthony O’ Dwyer, John O’Mara, Tracy A. Webb, Penelope M. Spurdle, Amanda B. |
author_facet | Johnatty, Sharon E. Stewart, Colin J. R. Smith, Deborah Nguyen, Anthony O’ Dwyer, John O’Mara, Tracy A. Webb, Penelope M. Spurdle, Amanda B. |
author_sort | Johnatty, Sharon E. |
collection | PubMed |
description | Leiomyomas, adenomyosis, and endometriosis are reported to be risk factors for endometrial carcinoma (EC), and adenomyosis and endometriosis also for ovarian carcinoma (OC). We aimed to describe the prevalence of these conditions in EC patients with or without an OC diagnosis, and to investigate their relationship with EC risk and prognostic factors in these patients. We evaluated the co-existence of these three conditions in 1399 EC patients, and compared the prevalence of epidemiological risk factors and tumor prognostic features in patients with each condition versus not. Prevalence of conditions was also assessed in the subset of patients with prior/concurrent OC. The observed coexistence of leiomyomas, adenomyosis and endometriosis significantly deviated from that expected (P = 1.2 × 10(−8)). Patients were more likely to: report a younger age at menarche (P(Trend) = 0.004) if they had leiomyomas; have used oral contraceptives (P = 6.6 × 10(−5)) or had ≥2 full-term pregnancies (P(Trend) = 2.0 × 10(−9)) if they had adenomyosis; be diagnosed with EC at younger age (P = 5.0 × 10(−11)) if they had endometriosis. Patients with prior/concurrent OC were more likely to be diagnosed at younger age (P = 5.0 × 10(−5)), have endometriosis (P = 9.9 × 10(−7)), and present with higher stage EC (P(Trend) = 6.6 × 10(−5)). These findings justify further consideration of these gynecologic conditions as independent risk and prognostic factors for EC. |
format | Online Article Text |
id | pubmed-7046700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-70467002020-03-05 Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer Johnatty, Sharon E. Stewart, Colin J. R. Smith, Deborah Nguyen, Anthony O’ Dwyer, John O’Mara, Tracy A. Webb, Penelope M. Spurdle, Amanda B. Sci Rep Article Leiomyomas, adenomyosis, and endometriosis are reported to be risk factors for endometrial carcinoma (EC), and adenomyosis and endometriosis also for ovarian carcinoma (OC). We aimed to describe the prevalence of these conditions in EC patients with or without an OC diagnosis, and to investigate their relationship with EC risk and prognostic factors in these patients. We evaluated the co-existence of these three conditions in 1399 EC patients, and compared the prevalence of epidemiological risk factors and tumor prognostic features in patients with each condition versus not. Prevalence of conditions was also assessed in the subset of patients with prior/concurrent OC. The observed coexistence of leiomyomas, adenomyosis and endometriosis significantly deviated from that expected (P = 1.2 × 10(−8)). Patients were more likely to: report a younger age at menarche (P(Trend) = 0.004) if they had leiomyomas; have used oral contraceptives (P = 6.6 × 10(−5)) or had ≥2 full-term pregnancies (P(Trend) = 2.0 × 10(−9)) if they had adenomyosis; be diagnosed with EC at younger age (P = 5.0 × 10(−11)) if they had endometriosis. Patients with prior/concurrent OC were more likely to be diagnosed at younger age (P = 5.0 × 10(−5)), have endometriosis (P = 9.9 × 10(−7)), and present with higher stage EC (P(Trend) = 6.6 × 10(−5)). These findings justify further consideration of these gynecologic conditions as independent risk and prognostic factors for EC. Nature Publishing Group UK 2020-02-27 /pmc/articles/PMC7046700/ /pubmed/32108150 http://dx.doi.org/10.1038/s41598-020-59916-1 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Article Johnatty, Sharon E. Stewart, Colin J. R. Smith, Deborah Nguyen, Anthony O’ Dwyer, John O’Mara, Tracy A. Webb, Penelope M. Spurdle, Amanda B. Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title | Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title_full | Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title_fullStr | Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title_full_unstemmed | Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title_short | Co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
title_sort | co-existence of leiomyomas, adenomyosis and endometriosis in women with endometrial cancer |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046700/ https://www.ncbi.nlm.nih.gov/pubmed/32108150 http://dx.doi.org/10.1038/s41598-020-59916-1 |
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