Endometrial Carcinoma in Women Aged 40 Years and Younger.

Context.-Endometrial carcinoma is a disease of older postmenopausal women, and is relatively uncommon in patients younger than 40 years. Endometrial carcinomas in this age group may be familial, associated with Lynch syndrome, or sporadic. Objectives.-To present our current knowledge of endometrial...

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Publicado en:Archives of Pathology & Laboratory Medicine Vol. 138; no. 3; pp. 335 - 343
Autores principales: Garg, Karuna, Soslow, Robert A.
Formato: pictorial tables/charts Journal Article
Publicado: College of American Pathologists Mar2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2014
      vid: 138
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      pub: College of American Pathologists
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        atl: Endometrial Carcinoma in Women Aged 40 Years and Younger.
      aug:
        au:
          Garg, Karuna
          Soslow, Robert A.
        affil: Department of Pathology, University of California San Francisco
      sug:
        subj:
          Endometrial Neoplasms Physiopathology
          Carcinoma Physiopathology
          Age Factors
          Endometrial Neoplasms Pathology
          Carcinoma Pathology
          Prognosis
          Neoplastic Syndromes, Hereditary
          Endometrial Neoplasms Therapy
          Carcinoma Therapy
          Adult
          Adult: 19-44 years
      ab: Context.-Endometrial carcinoma is a disease of older postmenopausal women, and is relatively uncommon in patients younger than 40 years. Endometrial carcinomas in this age group may be familial, associated with Lynch syndrome, or sporadic. Objectives.-To present our current knowledge of endometrial carcinomas in women younger than 40 years. Data Sources.-The review is based on previously published articles on this topic. Conclusions.-Most endometrial carcinomas that occur in this age group are associated with estrogen excess. They are usually low-grade endometrioid carcinomas that present at low stages and are associated with favorable clinical outcomes. Tumors associated with mismatch repair abnormalities and Lynch syndrome appear to be distinct, with worse prognostic factors and, possibly, clinical behavior. Conservative hormonal therapy and ovarian conservation are reasonable considerations in the management of these young patients, but carry the risk of tumor progression, recurrence, and an occult synchronous or metachronous ovarian carcinoma.
      pubtype: Academic Journal
      doctype:
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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