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Endometriosis-associated Malignancy
Open accessAbstract
Endometriosis is a common condition in women of reproductive age. According to several epidemiological studies endometriosis may be associated with increased risk of various malignancies. However, endometriosis-associated malignancy (EAM) is defined by certain histological criteria. About 80 % of EAM have been found in the ovary, whereas 20 % are localized in extragonadal sites like intestine, rectovaginal septum, abdominal wall, pleura and others. Some authors suggest that EAM arise from atypical endometriosis as an intermediate lesion between endometriosis and cancer. Moreover, a number of genetic alterations, like loss of heterozygosity (LOH), PTEN, ARID1 A and p53 mutations have been found in both endometriosis and EAM. Endometriosis-associated ovarian cancer (EAOC) is mostly a well or intermediately differentiated tumor of endometrioid or clear cell histological sub-type. Women affected by EAOC are on average five to ten years younger than non-EAOC patients; in most of the cases EAOC is a low stage disease with favorable clinical outcome. Since EAM is a rare condition systematic data on EAM are still missing. A systematic retrospective study on endometriosis-associated malignancies (EAM study) is currently being conducted by the Endometriosis Research Foundation together with the study groups on ovarian and uterine tumors of the working group for gynecological oncology (AGO) (gyn@mlk-berlin.de).
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“Endometriosis was significantly associated with an increased risk of clear cell, low-grade serous and endometrioid invasive cancers [35].”
From Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review (2024) · cites this paper as [35]
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Metadata
- Authors
- Krawczyk, N., Banys-Paluchowski, M., Schmidt, D., Ulrich, U., & Fehm, T.
- Affiliations
- Heinrich Heine University Düsseldorf (DE)
- Synlab MVZ Pathologie Mannheim GmbH, A2, 2, Mannheim
- Martin-Luther-Krankenhaus (DE)
- Corresponding author
- Krawczyk, N.
- Venue
- Geburtshilfe und Frauenheilkunde
- Publisher
- Georg Thieme Verlag KG
- Published
- 2016-02-29
- Volume
- 76
- Issue
- 02
- Pages
- 176-181
- ISSN
- 0016-5751 (ISSN-L)
- 1438-8804
- PMC
- PMC4771509
- OpenAlex
- W2326554766
- Cited by
- 107
- References
- 74
- Citations by year
- 2026: 3 · 2025: 13 · 2024: 19 · 2023: 6 · 2022: 14 · 2021: 10 · 2020: 13 · 2019: 10 · 2018: 8 · 2017: 9 · 2016: 2
- FWCI
- 1.39
- Type
- journal article
- Language
- de
- Open access
- bronze
- doi.org
- Locations
- Geburtshilfe und Frauenheilkunde (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Oncology › Ovarian cancer diagnosis and treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Keywords
- endometriosis-associated malignancy, endometriosis-associated ovarian cancer, atypical endometriosis, loss of heterozygosity, PTEN mutation, ARID1A mutation, TP53 mutation, endometrioid carcinoma, clear cell carcinoma, cancer risk, histological criteria
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