Abstract:This study was conducted to identify clinical factors that are predictive of treatment choice for pelvic organ prolapse. One hundred forty-six women diagnosed with pelvic organ prolapse were educated about their condition and possible treatments before being offered one of three different treatment choices: expectant management (any choice other than pessary or surgery, including pelvic muscle exercises), pessary, or surgery. Data were recorded for all factors that might be predictors of treatment choice, incl… Show more
“…Uterine sarcomas are rare tumors that account for approximately 1% of female genital tract malignancies and 3%-7% of uterine cancers [1]. Although the aggressive nature of most cases is well recognized, their rarity and histopathologic diversity have contributed to the lack of consensus on risk factors for poor outcome and optimal treatment [2]. Until now, the 1988 International Federation of Gynecology and Obstetrics (FIGO) criteria for endometrial carcinoma have been used to assign stages for uterine sarcomas despite the different nature of both tumor categories.…”
“…Uterine sarcomas are rare tumors that account for approximately 1% of female genital tract malignancies and 3%-7% of uterine cancers [1]. Although the aggressive nature of most cases is well recognized, their rarity and histopathologic diversity have contributed to the lack of consensus on risk factors for poor outcome and optimal treatment [2]. Until now, the 1988 International Federation of Gynecology and Obstetrics (FIGO) criteria for endometrial carcinoma have been used to assign stages for uterine sarcomas despite the different nature of both tumor categories.…”
“…Stage appears to be the most consistent and significant prognostic indicator in the literature. [48][49][50][51][52][53][54][55][56][57][58] However, recurrence and metastasis among patients with stage I LMS are not uncommon. 55,57 In our study, tumour-related deaths or recurrences were observed in 45.5% (15/33) of stage I LMSs.…”
“…[9][10][11][12][13] In a review of 208 patients with LMS, Giuntoli et al reported that adjuvant pelvic RT did not improve the survival rate. 11 Omura et al reported that there was no significant difference in the recurrence rate in a randomized clinical trial of adjuvant doxyrubicin therapy in uterine sarcoma. 12 Dinh et al also reported that current chemotherapy drugs are minimally effective for uterine LMS.…”
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