Endometrial stromal sarcoma. Is there a place for radiotherapy?

• Autores: Izaskun Valduvieco Ruiz, Angeles Rovirosa Casino, Lluís Colomo Saperas, Jaume Pahisa, Alberto Biete Solà
• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 12, Nº. 3, 2010, págs. 226-230
• Idioma: inglés
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• Resumen

  • Objectives The optimal approach in the management of endometrial stromal sarcoma (ESS) remains unclear. The aim of the present study was to retrospectively report the outcome of patients treated for ESS in our hospital over a 27-year period in order to evaluate the treatment results and the role of radiotherapy.

    Patients and methods From 1979 to 2006, 13 patients with ESS were treated at the Hospital Clínic of Barcelona. Patients underwent abdominal hysterectomy and bilateral salpingo-oophorectomy. The 1989 FIGO classifi cation for endometrial carcinoma was used in this retrospective study.

    Seven patients presented stage I (6 IB and 1 IC), 1 stage II, 3 stage III and 2 stage IV. Nine patients had high-grade tumours with an infi ltration of the outer 50% of the myometrium.

    Postoperative radiotherapy was administered in 10 patients.

    Results The mean follow-up of the patients was 54.6 months (range between 3 and 190). Patients with stage IB had a better outcome in comparison to more advanced stages.

    Five of the six patients with stage IB received adjuvant radiotherapy and none developed local recurrence, while one patient who received no treatment with radiotherapy had a relapse. Seven of the 13 patients had stages over IB: 5 who had received radiotherapy after surgery had locoregional control and 2 who did not receive radiotherapy had local relapse. Nine patients had high-grade tumours, 6 received radiotherapy after surgery and only one had local relapse. Of the three who did not receive radiotherapy, 2 relapsed locally. Local control rate of the patients who received adjuvant radiotherapy was higher than in the patients who did not (88.9% vs. 50%).

    Conclusions Our data reveal that deep myometrial invasion and stage over IB are signifi cantly associated with poor overall survival and this fi nding is similar to those of studies in patients with endometrial cancer. The present study showed that the local control was higher in patients receiving radiotherapy.