C Bourgin1, M Saidani1, C Poupon1, A Cauchois2, F Foucher3, J Leveque4, V Lavoue5. 1. Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France. 2. University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; Rennes University Hospital, Department of Pathology, Pontchaillou, 35000 Rennes, France. 3. Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France. 4. Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; INSERM ER440, Oncogenesis, Stress and Signaling (OSS), Rennes, France. 5. Rennes University Hospital, Department of Gynaecology, Hôpital sud, 16 boulevard de Bulgarie, 35000, Rennes, France; University of Rennes 1, Faculty of Medicine, 2 rue Henri le Guilloux, 35000 Rennes, France; INSERM ER440, Oncogenesis, Stress and Signaling (OSS), Rennes, France. Electronic address: Vincent.lavoue@chu-rennes.fr.
Abstract
OBJECTIVE: Endometrial cancer primarily affects elderly women. The aim of the present literature review is to define the population of elderly women with this disease and to define the characteristics of this cancer in elderly people as well as its surgical treatment. MATERIALS AND METHODS: A systematic review of the English-language literature of the last 20 years indexed in the PubMed database. RESULTS: Endometrial cancer is more aggressive in elderly women. However, surgical staging performed in elderly patients is often not concomitant with the disease's aggressiveness in this group. Mini-invasive surgery is performed less often, for no obvious reason. Of note, oncogeriatric evaluation was not usually ruled out to determine the most appropriate surgical modality. CONCLUSION: Studies are needed to evaluate surgical management of endometrial cancer in elderly women, notably with the aid of oncogeriatric scores to predict surgical morbidity.
OBJECTIVE:Endometrial cancer primarily affects elderly women. The aim of the present literature review is to define the population of elderly women with this disease and to define the characteristics of this cancer in elderly people as well as its surgical treatment. MATERIALS AND METHODS: A systematic review of the English-language literature of the last 20 years indexed in the PubMed database. RESULTS:Endometrial cancer is more aggressive in elderly women. However, surgical staging performed in elderly patients is often not concomitant with the disease's aggressiveness in this group. Mini-invasive surgery is performed less often, for no obvious reason. Of note, oncogeriatric evaluation was not usually ruled out to determine the most appropriate surgical modality. CONCLUSION: Studies are needed to evaluate surgical management of endometrial cancer in elderly women, notably with the aid of oncogeriatric scores to predict surgical morbidity.
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