Prevalence of adenomyosis in endometrial cancer patients: a systematic review and meta-analysis

被引:28
作者
Raffone, Antonio [1 ]
Seracchioli, Renato [2 ]
Raimondo, Diego [2 ]
Maletta, Manuela [2 ]
Travaglino, Antonio [3 ]
Raimondo, Ivano [4 ,5 ]
Giaquinto, Ilaria [2 ]
Orsini, Benedetta [2 ]
Insabato, Luigi [3 ]
Pellicano, Massimiliano [1 ]
Zullo, Fulvio [1 ]
机构
[1] Univ Naples Federico II, Sch Med, Dept Neurosci Reprod Sci & Dent, Gynecol & Obstet Unit, Naples, Italy
[2] Univ Bologna, Dipartimento Sci Med Chirurg DIMEC, IRCCS S Orsola Hosp, Gynecol & Human Reprod Physiopathol, Bologna, Italy
[3] Univ Naples Federico II, Sch Med, Dept Adv Biomed Sci, Pathol Unit, Naples, Italy
[4] Univ Sassari, Dept Med Surg & Expt Sci, Gynecol & Obstet Unit, Sassari, Italy
[5] Univ Sassari, Sch Biomed Sci, Sassari, Italy
关键词
Endometrium; Myometrium; Tumor; Malignancy; Gynecology; Oncology; COEXISTENT ADENOMYOSIS; RISK-FACTORS; ADENOCARCINOMA; MULTICENTER; EXPRESSION; CARCINOMA; OUTCOMES; SURGERY; IMPACT;
D O I
10.1007/s00404-020-05840-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction Several studies have assessed the histological co-existence of endometrial carcinoma (EC) and adenomyosis. However, the significance of this association is still unclear. Objective To assess the prevalence of adenomyosis in women with EC for a better understanding of the association between the two diseases. Materials and methods A systematic review and meta-analysis was performed by searching electronics databases from their inception to March 2020, for all studies that allowed extraction of data about prevalence of adenomyosis in EC patients. Adenomyosis prevalence was calculated for each included study and as pooled estimate, with 95% confidence interval (CI). Results Eight retrospective cohort studies assessing 5573 EC patients were included in our analysis. Of total, 1322 were patients with adenomyosis, and 4251 were patients without adenomyosis. Pooled prevalence of adenomyosis in EC patients was 22.6% (95% CI 12.7-37.1%). Conclusion Adenomyosis prevalence in EC patients was not different from that reported for other gynecological conditions. The supposed association between the two diseases appears unsupported.
引用
收藏
页码:47 / 53
页数:7
相关论文
共 39 条
[21]   Altered PTEN expression as a diagnostic marker for the earliest endometrial precancers [J].
Mutter, GL ;
Lin, MC ;
Fitzgerald, JT ;
Kum, JB ;
Baak, JPA ;
Lees, JA ;
Weng, LP ;
Eng, C .
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2000, 92 (11) :924-931
[22]   How common is adenomyosis? A prospective study of prevalence using transvaginal ultrasound in a gynaecology clinic [J].
Naftalin, J. ;
Hoo, W. ;
Pateman, K. ;
Mavrelos, D. ;
Holland, T. ;
Jurkovic, D. .
HUMAN REPRODUCTION, 2012, 27 (12) :3432-3439
[23]  
Palena C, 2012, FUTURE ONCOL, V8, P713, DOI [10.2217/fon.12.59, 10.2217/FON.12.59]
[24]   Risk factors for adenomyosis [J].
Parazzini, F ;
Vercellini, P ;
Panazza, S ;
Chatenoud, L ;
Oldani, S ;
Crosignani, PG .
HUMAN REPRODUCTION, 1997, 12 (06) :1275-1279
[25]   Diagnostic Accuracy of Immunohistochemistry for Mismatch Repair Proteins as Surrogate of Microsatellite Instability Molecular Testing in Endometrial Cancer [J].
Raffone, Antonio ;
Travaglino, Antonio ;
Cerbone, Marco ;
Gencarelli, Annarita ;
Mollo, Antonio ;
Insabato, Luigi ;
Zullo, Fulvio .
PATHOLOGY & ONCOLOGY RESEARCH, 2020, 26 (03) :1417-1427
[26]   Accuracy of One-Step Nucleic Acid Amplification in Detecting Lymph Node Metastases in Endometrial Cancer [J].
Raffone, Antonio ;
Travaglino, Antonio ;
Santoro, Angela ;
Esposito, Italia ;
Angelico, Giuseppe ;
Spadola, Saveria ;
Zannoni, Gian Franco .
PATHOLOGY & ONCOLOGY RESEARCH, 2020, 26 (04) :2049-2056
[27]   Cancer statistics, 2019 [J].
Siegel, Rebecca L. ;
Miller, Kimberly D. ;
Jemal, Ahmedin .
CA-A CANCER JOURNAL FOR CLINICIANS, 2019, 69 (01) :7-34
[28]  
Seracchioli R, 2005, ANTICANCER RES, V25, P2423
[29]   Methodological index for non-randomized studies (MINORS):: Development and validation of a new instrument [J].
Slim, K ;
Nini, E ;
Forestier, D ;
Kwiatkowski, F ;
Panis, Y ;
Chipponi, J .
ANZ JOURNAL OF SURGERY, 2003, 73 (09) :712-716
[30]   Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition [J].
Struble, Jennifer ;
Reid, Shannon ;
Bedaiwy, Mohamed A. .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2016, 23 (02) :164-185