Endometrial cancer in elderly women: Which disease, which surgical management? A systematic review of the literature

被引：43
作者：
Bourgin, C. [1 ,2 ]
Saidani, M. [1 ,2 ]
Poupon, C. [1 ,2 ]
Cauchois, A. [1 ,2 ,3 ]
Foucher, F. [1 ]
Leveque, J. [1 ,2 ,4 ]
Lavoue, V. [1 ,2 ,4 ]
机构：
[1] Rennes Univ Hosp, Dept Gynaecol, Hop Sud, 16 Blvd Bulgarie, F-35000 Rennes, France
[2] Univ Rennes 1, Fac Med, 2 Rue Henri Guilloux, F-35000 Rennes, France
[3] Rennes Univ Hosp, Dept Pathol, F-35000 Rennes, France
[4] INSERM, ER440, Oncogenesis Stress & Signaling OSS, Rennes, France
来源：
EJSO | 2016年 / 42卷 / 02期
关键词：
Elderly women; Endometrial cancer; Oncogeriatric scores; Surgical approach; GREATER-THAN-OR-EQUAL-TO-70; YEARS; PERIOPERATIVE MORBIDITY; OLDER PATIENTS; SURGERY; MORTALITY; IMPACT; AGE; CARCINOMA; SURVIVAL; HYSTERECTOMY;
D O I：
10.1016/j.ejso.2015.11.001
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Objective: Endometrial cancer primarily affects elderly women. The aim of the present literature review is to define the population of elderly women with this disease and to define the characteristics of this cancer in elderly people as well as its surgical treatment. Materials and methods: A systematic review of the English-language literature of the last 20 years indexed in the PubMed database. Results: Endometrial cancer is more aggressive in elderly women. However, surgical staging performed in elderly patients is often not concomitant with the disease's aggressiveness in this group. Mini -invasive surgery is performed less often, for no obvious reason. Of note, oncogeriatric evaluation was not usually ruled out to determine the most appropriate surgical modality. Conclusion: Studies are needed to evaluate surgical management of endometrial cancer in elderly women, notably with the aid of oncogeriatric scores to predict surgical morbidity. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码：166 / 175
页数：10
相关论文
共 44 条
[1]   The impact of surgery on survival of elderly women with endometrial cancer in the SEER program from 1992-2002 [J].
Ahmed, Amina ;
Zamba, Gideon ;
DeGeest, Koen ;
Lynch, Charles F. .
GYNECOLOGIC ONCOLOGY, 2008, 111 (01) :35-40
[2]   Is endometrial carcinoma intrinsically more aggressive in elderly patients? [J].
Alektiar, KM ;
Venkatraman, E ;
Abu-Rustum, N ;
Barakat, RR .
CANCER, 2003, 98 (11) :2368-2377
[3]   Shall we operate? Preoperative assessment in elderly cancer patients (PACE) can help - A SIOG surgical task force prospective study [J].
Audisio, R. A. ;
Participants, P. A. C. E. ;
Pope, D. ;
Ramesh, H. S. J. ;
Gennari, R. ;
van Leeuwen, B. L. .
CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 2008, 65 (02) :156-163
[4]   Laparoscopic hysterectomy is preferred over laparotomy in early endometrial cancer patients, however not cost effective in the very obese [J].
Bijen, Claudia B. M. ;
de Bock, Geertruida H. ;
Vermeulen, Karin M. ;
Arts, Henriette J. G. ;
ter Brugge, Henk G. ;
van der Sijde, Rob ;
Kraayenbrink, Arjen. A. ;
Bongers, Marlies Y. ;
van der Zee, Ate G. J. ;
Mourits, Marian I. E. .
EUROPEAN JOURNAL OF CANCER, 2011, 47 (14) :2158-2165
[5]  
Bogani G, 2014, MENOPAUSE N Y N 0127
[6]   Frailty: An outcome predictor for elderly gynecologic oncology patients [J].
Courtney-Brooks, Madeleine ;
Tellawi, A. Rauda ;
Scalici, Jennifer ;
Duska, Linda R. ;
Jazaeri, Amir A. ;
Modesitt, Susan C. ;
Cantrell, Leigh A. .
GYNECOLOGIC ONCOLOGY, 2012, 126 (01) :20-24
[7]   Revised FIGO staging for carcinoma of the endometrium [J].
Creasman, William .
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS, 2009, 105 (02) :109-109
[8]   Surgical treatment of elderly patients with endometrial cancer (≥65 years) [J].
De Marzi, Patrizia ;
Ottolina, Jessica ;
Mangili, Giorgia ;
Rabaiotti, Emanuela ;
Ferrari, Davide ;
Vigano, Riccardo ;
Candiani, Massimo .
JOURNAL OF GERIATRIC ONCOLOGY, 2013, 4 (04) :368-373
[9]   Classification of surgical complications - A new proposal with evaluation in a cohort of 6336 patients and results of a survey [J].
Dindo, D ;
Demartines, N ;
Clavien, PA .
ANNALS OF SURGERY, 2004, 240 (02) :205-213
[10]   Is older age a poor prognostic factor in stage I and II endometrioid endometrial adenocarcinoma? [J].
Fleming, Nicole D. ;
Lentz, Scott E. ;
Cass, Ilana ;
Li, Andrew J. ;
Karlan, Beth Y. ;
Walsh, Christine S. .
GYNECOLOGIC ONCOLOGY, 2011, 120 (02) :189-192
12345