Title
Clinical-pathological features and survival in young women with cervical cancer: A retrospective analysis from the instituto nacional de enfermedades neoplĂsicas
Other title
[CaracterĂsticas clĂnico-patolĂłgicas y sobrevida en mujeres jĂłvenes con cĂĄncer cervical: AnĂĄlisis retrospectivo del instituto nacional de enfermedades neoplĂĄsicas]
Date Issued
01 April 2017
Access level
open access
Resource Type
journal article
Author(s)
Publisher(s)
Instituto Nacional de Salud
Abstract
Objective. To determine the clinical and histological characteristics and prognostic factors of cervical cancer (CC) in young Peruvian patients. Materials and methods. Retrospective analysis of patients younger than 35 years old diagnosed with CC between 2008 and 2012 in the Instituto Nacional de Enfermedades NeoplĂĄsicas. Results. 449 patients had epithelial neoplasms. The main histological types were: squamous cell carcinoma (84.9%), adenocarcinoma (11.0%) and adenosquamous carcinoma (2.4%). The average tumor size was 4.98 cm. Anemia (55.7%), elevated creatinine (21.2%) and hydronephrosis (13.8%) were also identified. 82.3% of the patients presented locally advanced disease. Stages IIB (47.4%) and IIIB (25.8%) were the most common. Overall 5-year survival was 59.5% (I, 90.9%; II, 57.5%; III, 42.7% and IV, 13.3%). Elevated creatinine, anemia, tumor size, parametrial involvement and hydronephrosis were factors that affected survival. No significant relation was found between histological type and survival. The presence of anemia (adjusted hazard ratio [aHR]: 2.5; 95% confidence interval [CI 95%]: 1.6-4.0) and hydronephrosis (aHR: 1.6; CI 95%: 1.0-4.0) were independently associated with survival; likewise, the parametrial commitment with (aHR: 3.3; CI 95%: 1.5-7.2) or without (aRH: 2.6; CI 95%: 1.3-5.3) extension to the pelvic bone. Conclusions. Cervical cancer in young Peruvians is diagnosed in advanced stages. Overall survival in each stage is similar to the reported in older patients. The importance of conventional prognosisrelated factors was confirmed. Anemia was an important independent prognostic factor requiring further investigations.
Start page
218
End page
227
Volume
34
Issue
2
Language
Spanish
OCDE Knowledge area
OncologĂa
PatologĂa
Subjects
Scopus EID
2-s2.0-85029006980
PubMed ID
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information:
Directorio de ProducciĂłn CientĂfica
Scopus