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Table 5 Clinicopathological variables associated with optimal cytoreduction in patients with endometrial carcinoma

From: Prognostic factors of patients with recurrent uterine malignancies undergoing secondary cytoreductive surgery

 

Complete cytoreduction

Univariate

P value

Multivariate

P value

 

(N%)

HR

95% CI

 

HR

95% CI

 

Age at recurrence (years)

       

 < 60

26 (81.3)

1

     

 ≥ 60

12 (80.0)

1.083

0.231–5.081

0.919

   

ECOG performance status before SCS

       

 0

32 (78.0)

      

 1–2

6 (100.0)

NA

NA

0.579

   

FIGO stage at initial diagnosis

       

 I/II

31 (88.6)

1

  

1

  

 III/IV

7 (58.3)

5.536

1.175–26.072

0.030

30.777

1.167-811.458

0.040

Histology

       

 Endometrioid

33 (86.8)

1

  

1

  

 Non-endometrioid

5 (55.6)

5.280

1.048–26.589

0.044

0.820

0.08–8.359

0.867

Tumor grade

       

 G1/G1-G2/G2

18 (94.7)

1

     

 G2-G3/G3

15 (78.9)

4.8

0.483–47.682

0.181

   

Previous radiotherapy

       

 No

31 (79.5)

1

     

 Yes

7 (87.5)

0.554

0.059–5.173

0.604

   

Clinical symptoms at recurrence

       

 No

21 (80.8)

1

     

 Symptomatic

17 (81.0)

0.988

0.229–4.264

0.987

   

Size of largest tumor (cm)

       

 ≤ 6

35 (85.4)

1

     

 > 6

3 (50.0)

5.833

0.946–35.988

0.057

   

Number of recurrent tumors

       

 One

23 (95.8)

1

  

1

  

 Several

15 (65.2)

12.267

1.389-108.325

0.024

20.050

1.222-329.049

0.036

DFI before SCS (months)

       

 < 12

16 (76.2)

1

     

 ≥ 12

22 (84.6)

0.582

0.135–2.515

0.468

   

Retroperitoneal lymph node metastasis

       

 No

28 (75.7)

      

 Yes

10 (100.0)

NA

NA

0.172

   

Distant metastasis

       

 No

30 (78.9)

1

     

 Yes

8 (88.9)

0.469

0.051–4.137

0.504

   

Lung metastasis alone

       

 No

37 (80.4)

      

 Yes

1 (100.0)

NA

NA

1.000

   

Peritoneal dissemination

       

 No

33 (89.2)

1

  

1

  

 Yes

5 (50.0)

8.250

1.638–41.546

0.011

1.833

0.049–69.231

0.744

Extended beyond the pelvis

       

 No

21 (95.5)

1

  

1

  

 Yes

17 (68.0)

9.882

1.123–86.985

0.039

0.386

0.013–11.546

0.583

Ascites

       

 None

36 (87.8)

1

  

1

  

 Yes

2 (33.3)

14.400

2.073-100.012

0.007

26.009

0.294-2301.929

0.154

Neoadjuvant chemotherapy before SCS

       

 No

35 (79.5)

      

 Yes

3 (100.0)

NA

NA

1.000

   
  1. SCS, Secondary cytoreductive surgery; ECOG, Eastern Cooperative Oncology Group; FIGO, International Federation of Gynecology and Obstetrics; HR, hazard ratio; CI, confidence intervals; DFI, Disease-free interval