Comparison of outcomes between squamous cell carcinoma and adenocarcinoma in patients with surgically treated stage I‑II cervical cancer

  • Authors:
    • Makoto Yamauchi
    • Takeshi Fukuda
    • Takuma Wada
    • Masaru Kawanishi
    • Kenji Imai
    • Yasunori Hashiguchi
    • Tomoyuki Ichimura
    • Tomoyo Yasui
    • Toshiyuki Sumi
  • View Affiliations

  • Published online on: May 15, 2014     https://doi.org/10.3892/mco.2014.295
  • Pages: 518-524
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

To improve our understanding of cervical adenocarcinoma (AD) and evaluate the clinical and pathological variables affecting its prognosis, we retrospectively reviewed the medical records of 455 patients with cervical cancer [International Federation of Gynecology and Obstetrics stage I/II; 91 cases with AD and 364 with squamous cell carcinoma (SCC)] who underwent surgery at our hospital between January, 1995 and August, 2012 and compared the characteristics and prognoses between AD and SCC cases, including age, clinical stage, histological type, lymph node metastasis, lymphovascular space invasion (LVSI), cervical stromal invasion, parametrial invasion, vaginal invasion, corpus invasion, ovarian metastasis and tumor diameter. We used Cox regression analysis to determine independent prognostic factors. AD was found to have a significantly poorer prognosis in all the patients (P=0.001), stage I patients (P=0.001) and stage IB patients (P<0.05). The prognosis did not differ in patients who did not require postoperative treatment; however, patients who received postoperative treatment exhibited a significantly poorer prognosis (P<0.05). Patients with AD who received postoperative irradiation alone had a significantly poorer prognosis (P<0.05). The multivariate analysis identified LVSI (P=0.008), stromal invasion (P=0.024) and ovarian metastasis (P=0.032) as independent predictors of shorter survival. AD was associated with a worse prognosis compared to SCC in patients with stage IB disease, particularly in those who required postoperative treatment. Such patients may benefit from individualized postoperative treatments that differ from those applied for SCC.
View Figures
View References

Related Articles

Journal Cover

July-August 2014
Volume 2 Issue 4

Print ISSN: 2049-9450
Online ISSN:2049-9469

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Yamauchi M, Fukuda T, Wada T, Kawanishi M, Imai K, Hashiguchi Y, Ichimura T, Yasui T and Sumi T: Comparison of outcomes between squamous cell carcinoma and adenocarcinoma in patients with surgically treated stage I‑II cervical cancer. Mol Clin Oncol 2: 518-524, 2014
APA
Yamauchi, M., Fukuda, T., Wada, T., Kawanishi, M., Imai, K., Hashiguchi, Y. ... Sumi, T. (2014). Comparison of outcomes between squamous cell carcinoma and adenocarcinoma in patients with surgically treated stage I‑II cervical cancer. Molecular and Clinical Oncology, 2, 518-524. https://doi.org/10.3892/mco.2014.295
MLA
Yamauchi, M., Fukuda, T., Wada, T., Kawanishi, M., Imai, K., Hashiguchi, Y., Ichimura, T., Yasui, T., Sumi, T."Comparison of outcomes between squamous cell carcinoma and adenocarcinoma in patients with surgically treated stage I‑II cervical cancer". Molecular and Clinical Oncology 2.4 (2014): 518-524.
Chicago
Yamauchi, M., Fukuda, T., Wada, T., Kawanishi, M., Imai, K., Hashiguchi, Y., Ichimura, T., Yasui, T., Sumi, T."Comparison of outcomes between squamous cell carcinoma and adenocarcinoma in patients with surgically treated stage I‑II cervical cancer". Molecular and Clinical Oncology 2, no. 4 (2014): 518-524. https://doi.org/10.3892/mco.2014.295