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Muzykiewicz KP, Iwanska E, Pniewska KW, Janeczek M, Nowak-Jastrzab M, Kalamacki A, Karolewski K, Blecharz P. The prognostic value of the post-treatment serum CA 125 level in patients with advanced endometrial cancer. Ginekol Pol 2023:VM/OJS/J/96205. [PMID: 38126890 DOI: 10.5603/gpl.96205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 09/24/2023] [Accepted: 11/23/2023] [Indexed: 12/23/2023] Open
Abstract
OBJECTIVES The goal of this analysis was to assess the prognostic value of the post-treatment serum CA 125 level in each member of a group of advanced endometrial cancer (aEC) patients in comparison to other clinical and pathological parameters. MATERIAL AND METHODS Records of 266 patients treated at the Maria Skłodowska-Curie Memorial Cancer Centre and Institute of Oncology, Cracow Branch between the years 2006 and 2018 were included in the study. Follow-up ranged from 1 to 138 months. Progression free survival (PFS) and overall survival (OS) were set as the endpoints. The tests chi-squared, Fisher, log-rank, Mann-Whitney, Kruskal-Wallis and Cox proportional hazard ratio were used for statistical analyses. RESULTS In the analysed group, there was a significant association between an elevated serum CA 125 level following adjuvant treatment and shorter PFS and OS. After setting a cut-off value for CA 125 there was a statistically significant correlation between the marker and PFS and OS. Multivariate analysis indicated that the post-treatment serum CA 125 level is an independent prognostic factor of the course of aEC. CONCLUSIONS The post-treatment serum CA 125 level correlates significantly with both PFS and OS in each patient with aEC. The marker is an independent prognostic factor in this group. A low post-treatment level of the marker is a strong indicator of good 5-year survival, with 82% of patients reaching 5-year OS.
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Affiliation(s)
- Konrad P Muzykiewicz
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland.
| | - Ewa Iwanska
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Karolina W Pniewska
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Maja Janeczek
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Malgorzata Nowak-Jastrzab
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Andrzej Kalamacki
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Kazimierz Karolewski
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
| | - Pawel Blecharz
- Department of Gynecologic Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Branch in Cracow, Poland, Poland
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Szatkowski W, Muzykiewicz K, Jasiówka M, Karolewski K, Kojs Z, Klimek M, Blecharz P. Comparison of effectiveness of treatment of patients with sporadic and germline BRCA1-related ovarian cancer. Ginekol Pol 2016; 87:422-5. [DOI: 10.5603/gp.2016.0019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2016] [Accepted: 06/30/2016] [Indexed: 11/25/2022] Open
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Blecharz P, Reinfuss M, Jakubowicz J, Piotr S, Wysocki W, Karolewski K, Urbański K. Prognostic factors in patients with primary invasive vaginal carcinoma. Ginekol Pol 2012; 83:904-909. [PMID: 23488292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Abstract
AIM OF THE STUDY Aim of the study was the assessment of prognostic factors in the group of primary invasive vaginal carcinoma (PIVC) patients subjected to radical radiation therapy MATERIAL AND METHODS The analysis was performed for the group of 152 PIVC patients treated with intracavitary brachytherapy alone (16.5%), the combination of brachytherapy and external radiotherapy (78.9%), or external radiotherapy alone (4.6%). The relationship was investigated between treatment outcome and the following demographic, clinical and histopathological features: age, duration of pathological symptoms, number of births given, prior hysterectomy haemoglobin level, Karnofsky performance status score, primary tumour location in vagina, length of vagina involved, FIGO stage, gross appearance, histological type, and tumour grade. RESULTS Five-year disease-free survival was observed in 46.1% of the patients (70/152). Patients below 60 years of age, with Karnofsky score of 80-90, diagnosed with PIVC in stage 10 or 110, and with tumour of grade G1 or G2 had significantly higher 5-year disease-free survival. Multifactoral analysis showed that age below 60 and FIGO stage 10 and 110 are independent favourable prognostic factors. CONCLUSIONS The independent prognostic factors in PIVC patients treated with radical radiotherapy are patient age and FIGO stage.
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Affiliation(s)
- Paweł Blecharz
- Gynaecology Department, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Krakow Branch, Poland.
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Wysocki W, Mitus J, Komorowski A, Karolewski K. Impact of preoperative information on anxiety and disease-related knowledge in women undergoing mastectomy for breast cancer: a randomized clinical trial. Acta Chir Belg 2012; 112:111-5. [PMID: 22571072 DOI: 10.1080/00015458.2012.11680807] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Despite the large number of clinical trials on breast cancer, patient-related factors such as perioperative anxiety and level of knowledge about the disease and treatment have not been included in mainstream research efforts. This randomized trial was performed to evaluate the impact of information, provided preoperatively, on anxiety and knowledge of women undergoing mastectomy for breast cancer. METHODS Sixty consecutive patients with breast cancer, admitted for a mastectomy, as primary treatment for breast cancer, with no previous cancer history, were randomized to receive structured information (short video about practical aspects of the hospital stay, surgical and adjuvant treatment) in addition to the routine informed consent procedure for surgery or the routine informed consent only. Anxiety and subjective knowledge levels were measured with the visual analogue scales; in addition, knowledge was assessed with a questionnaire. RESULTS There was no significant effect of the additional information on perioperative anxiety or knowledge (subjective). Significantly more patients in the additional information group correctly listed all major available treatment options compared to the patients that received routine information (preoperatively 54% vs. 19%; p = 0.0101; 7 days postoperatively 50% vs.19%; p = 0.0367). CONCLUSIONS Use of an informational video, preoperatively, did not significantly affect perioperative anxiety or subjective knowledge. Additional research is needed on effective delivery of disease- and treatment-specific information perioperatively.
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Affiliation(s)
- W.M. Wysocki
- Department of Surgical Oncology, Kraków, Poland.
| | - J. Mitus
- Department of Surgical Oncology, Kraków, Poland.
| | - A.L. Komorowski
- Servicio de Cirurgia General, Hospital Virgen del Camino, Sanlúcar de Barrameda, Spain
| | - K. Karolewski
- Department of Gynecological Oncology, Maria Sklodowska-Curie Memorial Institute of Oncology, Kraków, Poland
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Blecharz P, Karolewski K, Urbański K. [Hereditary ovarian cancer. The role of BRCA1 gene dysfunction in response to chemotherapy]. Ginekol Pol 2011; 82:214-220. [PMID: 21735691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023] Open
Abstract
Hereditary ovarian cancer is often believed to be as a distinct disease. It is diagnosed earlier than its sporadic type; serous subtypes and more advanced stages are usually observed. Mutations of genes like BRCA1, BRCA2, MMR (MLH1, MSH2, PMS1, PMS2) are strictly associated with the heredity of ovarian and also breast cancer. Systematic controls and specific procedures to lower the risk of those tumors are required for mutation carriers. Most authors emphasize better prognosis for patients with inherited type of ovarian cancer when comparing to sporadic one. It probably results from dysfunction of BRCA1 gene, inducing better response to platinum-based cytostatic drugs. This phenomenon, called "BRCAness profile", is also observed in non-hereditary ovarian cancers and it arises from somatic mutation or hypermetylation of BRCA1 promoter. Thus, the process of DNA repair is defective. Currently new groups of drugs using the BRCA1 dysfunctions are being introduced into clinical practice.
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Affiliation(s)
- Paweł Blecharz
- Klinika Ginekologii Onkologicznej, Centrum Onkologii, Instytut im. M.Skłodowskiej-Curie, Oddział Kraków, 31-115 Krakow, Polska.
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Ryś J, Karolewski K, Pudełek J, Kruczak A, Wasilewska A, Vogelgesang M, Kojs Z. Perivascular epithelioid tumor (PEComa) of the falciform/ broad ligament. POL J PATHOL 2008; 59:211-215. [PMID: 19391488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
PEComas localized in the region of falciform ligament and broad ligament are exceedingly rare. Most of them are built of spindle neoplastic cells. We report a case of epithelioid PEComa of the falciform ligament and/or broad ligament. There is only one report of such neoplasm in English-language literature. Histologically, the tumor was composed of nests of epithelioid clear cells stained positively for vimentin, HMB45, and SMA. Because of morphological features of the tumour (4 mitoses /20HPF, focal necrosis, and vascular invasion) we assess the neoplasm as potentially malignant.
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Affiliation(s)
- Janusz Ryś
- Department of Tumor Pathology, Cracow Center of Oncology, Kraków.
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Blecharz P, Karolewski K, Bieda T, Klimek M, Pudelek J, Kojs E, Zur K, Dzialak P, Urbanski K. Prognostic factors in patients with carcinoma of the vulva--our own experience and literature review. EUR J GYNAECOL ONCOL 2008; 29:260-263. [PMID: 18592791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
AIM OF THE STUDY The objective was the analysis of prognostic factors and treatment outcomes of 104 patients with vulvar cancer, treated between 1990 and 2003 in the Center of Oncology, Maria Sklodowska-Curie Memorial Institute, Cracow, Poland. MATERIAL AND METHODS The median age of patients was 67. Advanced disease (TNM III and IVA) was found in 54 (51.9%) patients and grade 2 and 2 in 50 (48.1%). Inguinal lymph nodes were clinically uni- or bilaterally involved in 40.4% of patients. Fifty-seven (54.8%) patients underwent radical vulvectomy with bilateral inguinal lymphadenectomy and 47 (45.2%) radical vulvectomy only. Cancer differentiation was well in 38 (36.2%) of patients, moderate in 38 (36.2%) and poor in 28 (36.6%). Adjuvant radiotherapy was applied in 30 (28.8%) cases. RESULTS Five-year overall survival rate was observed in 44.4% of patients. Depending on TNM grade, 5-year OS rates were 61.4% for grade 1, 54.9% for grade 2, 40.1% for grade 3 and 13.3% for IVA. In patients aged < 70, 5-year OS rate was 54.7% compared to 30.5% for those > or = 70. Among patients with G1 cancer differentiation 64.4% survived five years, with G2 39.1% and with G3 24.9%, respectively. CONCLUSION Univariate analysis revealed a statistically significant, unfavorable impact of age > or = 70, with G3 cancer differentiation, clinically confirmed inguinal lymph node involvement and TNM classification stage on 5-year overall survival. Cox multivariate analysis demonstrated that independent prognostic factors for 5-year survival were the age of the patient, clinical status of inguinal lymph nodes and TNM classification grade.
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Affiliation(s)
- P Blecharz
- Center of Oncology, Gynecologic Oncology Department, M. Sklodowska-Curie Memorial Institute, Krakow Branch, Krakow, Poland.
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Kojs Z, Glinski B, Pudelek J, Urbanski K, Karolewski K, Mitus J, Reinfuss M. [Follow-up of 70 patients with advanced ovarian cancer after negative second-look laparotomy]. ACTA ACUST UNITED AC 2006; 35:16-22. [PMID: 16446607 DOI: 10.1016/s0368-2315(06)76367-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To analyze the results of treatment of 70 patients with stage III and IV ovarian cancer after second look laparotomy with negative findings and to identify causes of failure and prognostic factors. MATERIALS AND METHODS Between 1985 and 1998, seventy patients with ovarian cancer stage III and IV were treated with surgery and at least six courses of chemotherapy with cisplatin doxarubicin and cyclophosphamide. Then a second look laparotomy was performed. RESULTS The actuarial survival rate without evidence of disease was 50% at 5 years. Locoregional failure was observed in 31 patients (88%) and distant metastases in 9, but they were the sole reason for unsuccessful treatment in only 4 (12%). Adverse prognostic factors were: grade 3 differentiation, primary stage IIIC and IV, and residual infiltration exceeding 2 cm after first laparotomy. CONCLUSION Our results are comparable with reports in the literature. The actuarial survival rate without evidence of disease at 5 years in patients with advanced ovarian cancer after second look negative laparotomy is 50%.
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Affiliation(s)
- Z Kojs
- Service de Gynécologie Oncologique, Pologne.
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Karolewski K, Kojs Z, Urbański K, Jakubowicz J, Blecharz P, Dymek P, Reinfuss M. The efficiency of treatment in patients with uterine-confined endometrial cancer. EUR J GYNAECOL ONCOL 2006; 27:579-84. [PMID: 17290586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
AIM To present our experience regarding the efficiency of treatment in patients with uterine-confined endometrial cancer. PATIENTS AND METHODS 775 patients with uterine-confined endometrial cancer (UCEC) were treated between July 1985 and June 2000 in the Krakow Branch of Sklodowska Memorial Institute. RESULTS Among the 775 patients, 5-year disease-free survival was observed in 82.8% patients; 96% patients with low risk of disease recurrence, 93.6% patients with intermediate risk and 78.3% patients with high risk survived five years with no evidence of disease. In the group with a high-risk disease recurrence rate, 5-year disease-free survival was statistically higher among patients treated with adjuvant brachytherapy plus external beam radiotherapy (EBRT) in comparison to patients treated with adjuvant brachytherapy (BRT) alone (82.4% vs 72.1%). CONCLUSIONS The recommended treatment in patients with high and moderate differentiation of UCEC with FIGO Stage IA is surgery alone. Surgery with adjuvant EBRT in the group of patients with intermediate risk of cancer recurrence allows over 90% of patients to be cured. In the group of patients with a high risk of disease recurrence adjuvant BRT with EBRT is statistically more efficient in comparison to BRT alone.
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Affiliation(s)
- K Karolewski
- Department of Gynecologic Oncology, Maria Sklodowska-Curie Memorial Institute, Kraków, Poland
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Karolewski K, Kojs Z, Jakubowicz J, Urbański K, Dymek P, Reinfuss M, Jóźwik P. [Analysis of treatment outcome in patients with endometrial cancer limited to the uterus]. Ginekol Pol 2005; 76:100-7. [PMID: 15847076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
OBJECTIVES The aim of study was to analyse results of treatment patients with uterine-confined endometrial cancer which underwent surgery and postoperative radiotherapy in Center of Oncology in Kraków between 1985 and 1997. MATERIAL AND METHODS The research included a group of 650 women. All patients undergo total abdominal hysterectomy with bilateral salpingo-oophorectomy and postoperative radiotherapy. 155 patients with intermediate-risk of recurrence (IA-G3, IB-G1, G2) received postoperative whole pelvic irradiation only. In the group of 495 patients with high-risk of recurrence (IB-G3, IC, II) 210 patients received brachytherapy vaginal cuff only and 285 patients whole pelvic and vaginal cuff irradiation. RESULTS In the group of patients with intermediate-risk of recurrence five NED survival was 93.5%. In the group of patients with high-risk of recurrence five NED survival was statistically lower in patients treated with brachytherapy vaginal cuff only (83.2% vs. 71.9%). CONCLUSION In uterine-confined endometrial cancer patients, with intermediate-risk of recurrence treated with surgery and postoperative whole pelvis irradiation, 5-year NED survival is above of 90%. In the group of patients with high-risk of recurrence the adjuvant treatment of choice is whole pelvic and vaginal cuff irradiation.
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Karolewski K, Kojs Z, Jakubowicz J, Urbański K, Reinfuss M, Dymek P, Jóźwik P. [Prognostic factors in patients with cervical--confined endometrial carcinoma treated with surgery and postoperative radiotherapy]. Przegl Lek 2005; 62:1444-6. [PMID: 16786769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
OBJECTIVE The aim of the study was to determine prognostic factors in the group of the patients with uterine--confined endometrial carcinoma treated with surgery and postoperative radiotherapy. MATERIAL AND METHODS The authors analyzed 102 patients (mean age 58 years) with stage 1 (74 patients) and stage 11 (28 patients) endometrial carcinoma. All patients were treated with surgery (abdominal hysterectomy and bilateral adnexectomy) and postoperative radiotherapy: external beam pelvic irradiation (20 patients), vaginal cuff irradiation (33 patients) and combination (49 patients). Analysed were prognostic factors as follows: age, stage, tumor grade, depth of myometrial invasion, hormone receptors, expression of the tumor suppressor gene p53, Her 2/neu and MIB-1 (ki-67 paraffin). RESULTS In our group of patients, multivariate analysis has identified tumor grade, progesterone receptors status and MIB-1 as independent significant prognostic factors.
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Affiliation(s)
- Kazimierz Karolewski
- Klinika Ginekologii Onkologicznej, Krakowskiego Oddziału Centrum Onkologii, Instytutu im. M. Skłodowskiej-Curie.
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Karolewski K, Kojs Z, Jakubowicz J, Urbański K. [Effectiveness of surgical treatment of patients with stage IA endometrial cancer]. Ginekol Pol 2004; 75:937-40. [PMID: 15751214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2023] Open
Abstract
OBJECTIVES The aim of the study was to analyse results of surgical treatment patients with stage IA-G1, G2 endometrial cancer treated in Center of Oncology in Kraków between 1985 and 1997. MATERIALS AND METHODS The research included a group of 44 women. All patients underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH and BSO) without complementary treatment. RESULTS Five NED survival was 95.5%. During the 5-year follow-up period 2 patients died, I of myocardial infarction and 1 of cerebral hemorrhage. CONCLUSION Total abdominal hysterectomy and bilateral salpingo-oophorectomy are the treatment of choice for stage IA-G1, G2 endometrial cancer.
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Affiliation(s)
- Kazimierz Karolewski
- Klinika Ginekologii Onkologicznej krakowskiego Oddziału Centrum Onkologii-Instytutu im. M. Sklodowskiej-Curie
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Klimek M, Urbański K, Góra E, Kojs Z, Karolewski K, Jakubowicz J, Pudełek J. Rak trzonu macicy – wstępna ocena tolerancji pooperacyjnej pulsacyjnej brachyterapii. Rep Pract Oncol Radiother 2001. [DOI: 10.1016/s1507-1367(01)70465-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Karolewski K, Korzeniowski S, Sokołowski A, Urbański K, Kojs Z. Prognostic significance of pretherapeutic and therapeutic factors in patients with advanced cancer of the uterine cervix treated with radical radiotherapy alone. Acta Oncol 1999; 38:461-8. [PMID: 10418713 DOI: 10.1080/028418699431997] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
The prognostic importance of various pretherapeutic and therapeutic factors was analysed in a group of 413 cervical cancer patients with stage IIB (183 pts) and IIIB (230 pts) treated with radical radiotherapy, which consisted of external irradiation and intracavitary brachytherapy. Univariate analysis of pretherapeutic factors revealed the prognostic significance of patient age, history of abortion, stage, haemoglobin and hematocrit levels. Five-year overall survival rate in stage IIB patients was 51%, in stage IIIB 40% and the respective rates for local control at each stage were 61%, and 46%. Univariate analysis of therapeutic factors showed that survival and local control rates increased with the dose, but a significant difference was found only in the case of a paracentral (point A) dose. In a multivariate analysis only patient age, abortions, and clinical stage appeared to have a significant and independent impact on survival. Linear regression analysis results indicated that prolongation of treatment time between 33 and 108 days caused a loss of local control of 0.36% per day.
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Affiliation(s)
- K Karolewski
- Centre of Oncology, Maria Sklodowska-Curie Memorial Institute, Department of Gynecol.-Oncology, Kracow, Poland
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Jakubowicz J, Urbański K, Kojs Z, Karolewski K. 74 Ocena skuteczności leczenia przerzutów odległych u chorych na miejscowo wyleczonego raka szyjki macicy. Rep Pract Oncol Radiother 1999. [DOI: 10.1016/s1507-1367(99)70073-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Karolewski K, Korzeniowski S, Sokołowski A, Urbański K, Kojs Z. 38P Wpływ całkowitego czasu leczenia na wyniki radioterapii zaawansowanego raka szyjki macicy. Rep Pract Oncol Radiother 1998. [DOI: 10.1016/s1507-1367(98)70244-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Kojs Z, Urbański K, Reinfuss M, Karolewski K, Klimek M, Pudełerk J, Mituś J. Whole abdominal external beam radiation in the treatment of primary carcinoma of the fallopian tube. Gynecol Oncol 1997; 65:473-7. [PMID: 9190978 DOI: 10.1006/gyno.1997.4663] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Thirty-two patients with adenocarcinoma of the fallopian tube, treated between 1975 and 1990, were studied. Thirteen patients had stage I disease, 9 stage II, and 10 stage III. All patients underwent bilateral salpingo-oophorectomy, total abdominal hysterectomy, and subcolic omentectomy. All patients received postoperative primary whole abdominal external beam radiotherapy. Seventeen patients (53.1%) of the treated group survived NED for at least 5 years. Survival was 76.9% for stage I, 55.6% for stage II, and 20% for stage III. In the Cox multivariate analysis, two variables were independently related to survival: stage of disease and size of residual disease after surgery. Postoperative teleradiotherapy was totally ineffective in gross residual (>2 cm in diameter) disease (0% 5-year NED survivors) and not effective enough in small residual disease (<2 cm in diameter) (33% 5-year NED survivors). Despite postoperative whole abdominal external beam radiotherapy, 3 patients with microscopic, 4 with small, and 4 with gross residual disease did fail within the peritoneal cavity.
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Affiliation(s)
- Z Kojs
- Department of Gynecologic Oncology, Center of Oncology, Maria Skłodowska-Curie Memorial Institute, Kraków, Poland
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Kojs Z, Urbański K, Karolewski K, Reinfuss M, Mituś J. [Primary fallopian tube carcinoma. Analysis of 32 cases]. Ginekol Pol 1996; 67:612-4. [PMID: 9289455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
A retrospective analysis of 32 patients with primary fallopian tube carcinoma treated at Center of Oncology in Kraków is presented. In all cases therapy consisted of primary total abdominal hysterectomy with bilateral salpingo-oophorectomy followed by adjunctive radiotherapy. Five year without evidence of disease survived 53.1% of the patients. Stage of disease was the only prognostic factor: survival at 5 years was 76.9% for stage Io, 55.6% for stage IIo, and 20% for stage III.
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Affiliation(s)
- Z Kojs
- Kliniki Ginekologii Onkologicznej Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie, Oddział w Krakowie
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Kojs Z, Urbański K, Karolewski K, Klimek M, Pudełek J, Reinfuss M. [Cervix neoplasms in women younger than 36 years of age]. Ginekol Pol 1996; 67:557-60. [PMID: 9289442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Between 1970 and 1986, 252 women under 36 years of age with cervical carcinoma were treated in the Center of Oncology in Cracow. The five-year disease-free survival for all patients was 52.8%. In the multivariate analysis tumor stage IIB and III and the age under 30 years were adverse prognostic factors.
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Affiliation(s)
- Z Kojs
- Kliniki Ginekologii Onkologicznej Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie, Oddział w Krakowie
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Urbański K, Karolewski K, Kojs Z, Klimek M, Jakubowicz J, Pudelek J. 402Comparison between two or three fractions of Selectron-LDR combined with external beam radiotherapy in cervical cancer patients. Radiother Oncol 1996. [DOI: 10.1016/s0167-8140(96)80411-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Karolewski K, Urbański K. [A case of advanced vulvar cancer treated with combination therapy]. Ginekol Pol 1995; 66:486-8. [PMID: 8675077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Presented is a patient with advanced vulvar cancer involving the vagina, the perineum and the anus, with metastases to inguinal lymph nodes. The patient received irradiation and next, an artificial sigmoidal anus was made, with simultaneous vulvectomy performed with an electrosurgery. The patient's survival of 3 years and 3 months encourages to consider in such cases an attempt at applying aggressive surgical treatment combined with external radiotherapy.
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Affiliation(s)
- K Karolewski
- Kliniki Ginekologii Onkologicznej Centrum Onkologii Instytutu im. M. Skłodowskiej-Curie, Oddział w Krakowie
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Kojs Z, Karolewski K, Jakubowicz J, Reinfuss M. [Teratoma of the ovary. Analysis of prognostic factors]. Ginekol Pol 1995; 66:416-9. [PMID: 8655008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Forty-one patients with teratoma of the ovary were operated in the Center of Oncology in Kraków. The five-year disease-free survival for all patients was 68.3%. The histological grading appear to be an important prognostic factor. The five-year disease-free survival for patients with grade 0 was 100%, grade I--80%, grade II and III--14.3%.
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Affiliation(s)
- Z Kojs
- Kliniki Ginekologii Onkologicznej Oddziału Krakowskiego Centrum Onkologii im. M. Skłodowskiej-Curie
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Urbański K, Karolewski K, Kojs Z, Mituś J. [The treatment of vulvar cancer by the methods of electroresection and electrocoagulation]. Ginekol Pol 1987; 58:738-43. [PMID: 3452573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
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Niezabitowski A, Medvey W, Karolewski K, Gruchała A, Szklarski W, Ryś J. [Morphologic and clinical evaluation of malignant non-epithelial and mixed neoplasms of the genital organs. I. Heterologous sarcoma, stromal sarcoma, carcinosarcoma and adenocarcinoma]. Patol Pol 1986; 37:154-69. [PMID: 3808759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Karolewski K. [Endodermal sinus tumor--clinical evaluation of 7 cases]. Nowotwory 1985; 35:364-9. [PMID: 3831953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Niezabitowski A, Karolewski K. [Clinico-morphological evaluation of primary cancer of the fallopian tubes]. Nowotwory 1985; 35:341-7. [PMID: 3831949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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