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J Obstet Gynaecol ; 32(1): 81-6, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22185545

RESUMEN

The aim of this study was to investigate the clinical features and prognosis in patients with gynaecological epithelial cancers metastasised to bones. A total of 26 patients were studied retrospectively. Clinical and pathological data were analysed along with a follow-up. It was found that the interval from primary diagnosis of cancer until bony relapse varied between 0 and 163 months (31.4 ± 36.8). Bone metastases were solitary in 11 cases and multifocal in 15 cases. A total of 14 patients demonstrated only bony metastases while 12 had both bony and non-bony metastases. The time to follow-up from the diagnosis of osseous relapse varied between 1 and 43 months (10.0 ± 10.4). During follow-ups, 13 patients died and 13 patients survived. In both univariate and multivariate analyses, synchronous non-bony metastases and symptomatic treatment without oncological therapy impaired prognosis. It was concluded that even in the presence of multiple bone metastases, some patients may benefit from radiotherapy, chemotherapy or a combination of both, rather than palliative care alone, providing they do not have additional soft tissue metastases.


Asunto(s)
Adenocarcinoma/secundario , Neoplasias Óseas/secundario , Carcinoma de Células Escamosas/secundario , Neoplasias de los Genitales Femeninos/patología , Adenocarcinoma/mortalidad , Adulto , Anciano , Neoplasias Óseas/mortalidad , Carcinoma de Células Escamosas/mortalidad , Femenino , Neoplasias de los Genitales Femeninos/mortalidad , Humanos , Persona de Mediana Edad , Polonia/epidemiología , Estudios Retrospectivos
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