SlideShare a Scribd company logo
1 of 12
Download to read offline
Uterine Sarcoma: Clinico-pathological
characteristics and Treatment modalities
outcome. A single institution retrospective
analysis from Saudi Arabia
Khalid Sait , Nisreen Affinan, Mohamed
El Sayed , Shadi Al khayyat , Ahmed
Ghanem ,Reem Abayazid , Hesham Sait
Introduction
• 3-5% of uterine cancers.
• Arising from myometrium and connective
tissues.
• Present at younger age.
Histopathology
• The prognosis of these cancer is poor.
• Recurrence rate is high.
• Data limitation.
• Role of chemotherapy and radiation.
Uterine Sarcoma: Clinico-pathological
characteristics and Treatment modalities
outcome. A single institution retrospective
analysis from Saudi Arabia
Patient and Methodology
• All patient with pathological diagnosis of
uterine sarcoma.
• Patient treated in King Abdulaziz University
Hospital (KAUH) between 2000-2012.
• All histology reviewed at KAUH.
• FIGO 2009
• DFS and OS at 2 and 5 years.
Survival Data
OSDFSSurvival
30%22%2 years
14%14%5 years
• Cox Regression model:
Disease-Free Survival
1-Advanced age (p=0.015) and Lymphovascular
invasion (p=0.0007).
Overall Survial
1- Advanced age ( p=0.005) lymph node
involvement ( p= 0.029) have poor out come.
2- Chemotherapy ( p= 0.033) Radoitherapy (p=
0.015) have better outcome.
Conclusion
• Uterine sarcoma heterogonous disease.
• Prognosis is poor with high risk of recurrence.
• Advanced age, LVI and nodal involvement are
associated with worse outcome.
• Limitation: 1-Number.
2- Need prospective.

More Related Content

What's hot

Medical Treatment Of Uterine Sarcomas
Medical Treatment Of Uterine SarcomasMedical Treatment Of Uterine Sarcomas
Medical Treatment Of Uterine Sarcomas
fondas vakalis
 
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
European School of Oncology
 

What's hot (20)

DCIS Breast Cancer
DCIS Breast CancerDCIS Breast Cancer
DCIS Breast Cancer
 
Medical Treatment Of Uterine Sarcomas
Medical Treatment Of Uterine SarcomasMedical Treatment Of Uterine Sarcomas
Medical Treatment Of Uterine Sarcomas
 
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
Medical Students 2011 - J.B. Vermorken - GYNAECOLOGICAL CANCER SESSION - Endo...
 
Endometrial carcinoma
Endometrial carcinomaEndometrial carcinoma
Endometrial carcinoma
 
Primary Endometrial Stromal Sarcoma arising from Cervix
Primary Endometrial Stromal Sarcoma arising from CervixPrimary Endometrial Stromal Sarcoma arising from Cervix
Primary Endometrial Stromal Sarcoma arising from Cervix
 
Management of Early Breast Cancer
Management of Early Breast CancerManagement of Early Breast Cancer
Management of Early Breast Cancer
 
Breast cancer
Breast cancerBreast cancer
Breast cancer
 
4 luminal b abc with et with ct
4 luminal b abc with et with ct4 luminal b abc with et with ct
4 luminal b abc with et with ct
 
Endometrioid adenocarcinoma
Endometrioid adenocarcinomaEndometrioid adenocarcinoma
Endometrioid adenocarcinoma
 
Recent advances in carcinoma breast
Recent advances in carcinoma breastRecent advances in carcinoma breast
Recent advances in carcinoma breast
 
Uterine Cancer
Uterine CancerUterine Cancer
Uterine Cancer
 
Breast cancer
Breast cancerBreast cancer
Breast cancer
 
Endometrial Cancer
Endometrial CancerEndometrial Cancer
Endometrial Cancer
 
Metastatic breast cancer
Metastatic breast cancerMetastatic breast cancer
Metastatic breast cancer
 
breast cancer pharmacotherapy
breast cancer pharmacotherapybreast cancer pharmacotherapy
breast cancer pharmacotherapy
 
Dcis
DcisDcis
Dcis
 
FIGO 2014 Staging of Cancer Ovary
FIGO 2014 Staging of Cancer OvaryFIGO 2014 Staging of Cancer Ovary
FIGO 2014 Staging of Cancer Ovary
 
Endometrial cancer
Endometrial cancerEndometrial cancer
Endometrial cancer
 
Gynecology 5th year, 7th lecture/part two (Dr. Sindus)
Gynecology 5th year, 7th lecture/part two (Dr. Sindus)Gynecology 5th year, 7th lecture/part two (Dr. Sindus)
Gynecology 5th year, 7th lecture/part two (Dr. Sindus)
 
Breast Cancer
Breast CancerBreast Cancer
Breast Cancer
 

Viewers also liked

Cervical pregnancy
Cervical pregnancyCervical pregnancy
Cervical pregnancy
frankokeeffe
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
B Johani
 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
Mohammad Emam
 
Primary amenorrhoea
Primary amenorrhoeaPrimary amenorrhoea
Primary amenorrhoea
drmcbansal
 
Placental function
Placental functionPlacental function
Placental function
Anju Mandal
 
gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)
student
 

Viewers also liked (17)

Cervical pregnancy
Cervical pregnancyCervical pregnancy
Cervical pregnancy
 
Dysfunctional uterine bleeding
Dysfunctional uterine bleedingDysfunctional uterine bleeding
Dysfunctional uterine bleeding
 
Amenorrhea for undergraduate
Amenorrhea for undergraduateAmenorrhea for undergraduate
Amenorrhea for undergraduate
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Cervical pregnancy
Cervical pregnancyCervical pregnancy
Cervical pregnancy
 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
 
Amenorrhea ppt
Amenorrhea pptAmenorrhea ppt
Amenorrhea ppt
 
Primary amenorrhoea
Primary amenorrhoeaPrimary amenorrhoea
Primary amenorrhoea
 
Placental function
Placental functionPlacental function
Placental function
 
gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)gynaecology.Primary amenorrhea.(dr.sundus)
gynaecology.Primary amenorrhea.(dr.sundus)
 
Classification of ovarian tumors
Classification of ovarian tumorsClassification of ovarian tumors
Classification of ovarian tumors
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Ovarian cancer
Ovarian cancerOvarian cancer
Ovarian cancer
 
Ovarian Cancer
Ovarian CancerOvarian Cancer
Ovarian Cancer
 
Ovarian cancer ppt
Ovarian cancer pptOvarian cancer ppt
Ovarian cancer ppt
 
Uterine cancer 10 2011
Uterine cancer 10 2011Uterine cancer 10 2011
Uterine cancer 10 2011
 
Placenta development
Placenta developmentPlacenta development
Placenta development
 

Similar to Uterine sarcoma

Conservative treatment of ovarian cancer
Conservative treatment of ovarian cancerConservative treatment of ovarian cancer
Conservative treatment of ovarian cancer
Tariq Mohammed
 
Knowledge, attitudes, and practices regarding cervical cancer screening among...
Knowledge, attitudes, and practices regarding cervical cancer screening among...Knowledge, attitudes, and practices regarding cervical cancer screening among...
Knowledge, attitudes, and practices regarding cervical cancer screening among...
Tariq Mohammed
 
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docxRESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
rgladys1
 
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docxRESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
audeleypearl
 
ca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.pptca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.ppt
MusaibMushtaq
 

Similar to Uterine sarcoma (20)

Conservative treatment of ovarian cancer
Conservative treatment of ovarian cancerConservative treatment of ovarian cancer
Conservative treatment of ovarian cancer
 
Uzma
UzmaUzma
Uzma
 
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
 
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
Radiation-Induced Angiosarcoma of the Breast: Retrospective Analysis at a Reg...
 
A prospective study of breast lump andclinicopathologicalanalysis in relation...
A prospective study of breast lump andclinicopathologicalanalysis in relation...A prospective study of breast lump andclinicopathologicalanalysis in relation...
A prospective study of breast lump andclinicopathologicalanalysis in relation...
 
Ki-67 Immunostaining_Breast_Carcinoma_Correlation_Grade_Tumor_Lymph_Node.pdf
Ki-67 Immunostaining_Breast_Carcinoma_Correlation_Grade_Tumor_Lymph_Node.pdfKi-67 Immunostaining_Breast_Carcinoma_Correlation_Grade_Tumor_Lymph_Node.pdf
Ki-67 Immunostaining_Breast_Carcinoma_Correlation_Grade_Tumor_Lymph_Node.pdf
 
Ca 125
Ca 125Ca 125
Ca 125
 
Ovarian ca screening
Ovarian ca screeningOvarian ca screening
Ovarian ca screening
 
98ca screening
98ca screening98ca screening
98ca screening
 
121211
121211121211
121211
 
Questionairre 1
Questionairre 1Questionairre 1
Questionairre 1
 
Knowledge, attitudes, and practices regarding cervical cancer screening among...
Knowledge, attitudes, and practices regarding cervical cancer screening among...Knowledge, attitudes, and practices regarding cervical cancer screening among...
Knowledge, attitudes, and practices regarding cervical cancer screening among...
 
Laproscopic management of huge ovarian cyst
Laproscopic management of huge ovarian cystLaproscopic management of huge ovarian cyst
Laproscopic management of huge ovarian cyst
 
Surgery in cancer prevention
Surgery in cancer preventionSurgery in cancer prevention
Surgery in cancer prevention
 
Ca
CaCa
Ca
 
Bilateral Gonadblastoma and Dysgerminoma in an 18-Year-Old Female Patient wit...
Bilateral Gonadblastoma and Dysgerminoma in an 18-Year-Old Female Patient wit...Bilateral Gonadblastoma and Dysgerminoma in an 18-Year-Old Female Patient wit...
Bilateral Gonadblastoma and Dysgerminoma in an 18-Year-Old Female Patient wit...
 
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docxRESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
 
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docxRESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
RESEARCH ARTICLE Open AccessDeterminants of breast cancer .docx
 
ca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.pptca prostate by Dr. Musaib Mushtaq.ppt
ca prostate by Dr. Musaib Mushtaq.ppt
 
Detailed study of epi ov ca in saudi
Detailed study of epi ov ca in saudiDetailed study of epi ov ca in saudi
Detailed study of epi ov ca in saudi
 

More from Basalama Ali

More from Basalama Ali (20)

محاضرة التقرير السنوي
محاضرة التقرير السنويمحاضرة التقرير السنوي
محاضرة التقرير السنوي
 
Hpv prevelance and distribution amoung saudi
Hpv prevelance and distribution amoung saudi Hpv prevelance and distribution amoung saudi
Hpv prevelance and distribution amoung saudi
 
Ahmed abu zaid (final)
Ahmed abu zaid (final)Ahmed abu zaid (final)
Ahmed abu zaid (final)
 
Figo risk scoring
Figo risk scoringFigo risk scoring
Figo risk scoring
 
Rmi roma calculator
Rmi roma calculatorRmi roma calculator
Rmi roma calculator
 
Dr. anwar moria vulvar warts
Dr. anwar moria   vulvar wartsDr. anwar moria   vulvar warts
Dr. anwar moria vulvar warts
 
Cervical screening , present past crown plaza final copy
Cervical screening , present past crown plaza  final copyCervical screening , present past crown plaza  final copy
Cervical screening , present past crown plaza final copy
 
Conservative management of ovarian cancer 14 5-2015
Conservative management of ovarian cancer 14 5-2015Conservative management of ovarian cancer 14 5-2015
Conservative management of ovarian cancer 14 5-2015
 
Fertility preservation 3
Fertility preservation 3Fertility preservation 3
Fertility preservation 3
 
Prof james bently endometrial ca generalist
Prof james bently   endometrial ca generalistProf james bently   endometrial ca generalist
Prof james bently endometrial ca generalist
 
The 1 scientific meeting of cancer care for general gynecology
The 1 scientific meeting of cancer care for general gynecologyThe 1 scientific meeting of cancer care for general gynecology
The 1 scientific meeting of cancer care for general gynecology
 
Fertility drugs & oa ca ksa fv1
Fertility drugs & oa ca ksa fv1Fertility drugs & oa ca ksa fv1
Fertility drugs & oa ca ksa fv1
 
Gtd crown plaza 2015
Gtd crown plaza 2015Gtd crown plaza 2015
Gtd crown plaza 2015
 
Prof bently 3 managing unsuspected ovarian cancer
Prof bently 3 managing unsuspected ovarian cancerProf bently 3 managing unsuspected ovarian cancer
Prof bently 3 managing unsuspected ovarian cancer
 
Ov ca prevention jeddah
Ov ca prevention jeddahOv ca prevention jeddah
Ov ca prevention jeddah
 
Pap maneg
Pap manegPap maneg
Pap maneg
 
1- prof james bently - hpv and vaccine jeddah 2015
 1- prof james bently - hpv and vaccine jeddah 2015 1- prof james bently - hpv and vaccine jeddah 2015
1- prof james bently - hpv and vaccine jeddah 2015
 
3-perimenopausal bleeding management & rx
 3-perimenopausal bleeding management & rx 3-perimenopausal bleeding management & rx
3-perimenopausal bleeding management & rx
 
2-medical treatment of endometrial hyperplasia and endometrial cancer
 2-medical treatment of endometrial hyperplasia and endometrial cancer 2-medical treatment of endometrial hyperplasia and endometrial cancer
2-medical treatment of endometrial hyperplasia and endometrial cancer
 
Second line chemotherapy for ovarian cancer
Second line chemotherapy for ovarian cancerSecond line chemotherapy for ovarian cancer
Second line chemotherapy for ovarian cancer
 

Recently uploaded

1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
QucHHunhnh
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
heathfieldcps1
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 

Recently uploaded (20)

Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
The basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptxThe basics of sentences session 3pptx.pptx
The basics of sentences session 3pptx.pptx
 
This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.
 
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...Kodo Millet  PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
Kodo Millet PPT made by Ghanshyam bairwa college of Agriculture kumher bhara...
 
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
TỔNG ÔN TẬP THI VÀO LỚP 10 MÔN TIẾNG ANH NĂM HỌC 2023 - 2024 CÓ ĐÁP ÁN (NGỮ Â...
 
psychiatric nursing HISTORY COLLECTION .docx
psychiatric  nursing HISTORY  COLLECTION  .docxpsychiatric  nursing HISTORY  COLLECTION  .docx
psychiatric nursing HISTORY COLLECTION .docx
 
Magic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptxMagic bus Group work1and 2 (Team 3).pptx
Magic bus Group work1and 2 (Team 3).pptx
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdfUGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
UGC NET Paper 1 Mathematical Reasoning & Aptitude.pdf
 
Application orientated numerical on hev.ppt
Application orientated numerical on hev.pptApplication orientated numerical on hev.ppt
Application orientated numerical on hev.ppt
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 
How to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POSHow to Manage Global Discount in Odoo 17 POS
How to Manage Global Discount in Odoo 17 POS
 
Food safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdfFood safety_Challenges food safety laboratories_.pdf
Food safety_Challenges food safety laboratories_.pdf
 
Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024Mehran University Newsletter Vol-X, Issue-I, 2024
Mehran University Newsletter Vol-X, Issue-I, 2024
 
Dyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptxDyslexia AI Workshop for Slideshare.pptx
Dyslexia AI Workshop for Slideshare.pptx
 
Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...Making communications land - Are they received and understood as intended? we...
Making communications land - Are they received and understood as intended? we...
 
ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.ICT role in 21st century education and it's challenges.
ICT role in 21st century education and it's challenges.
 

Uterine sarcoma

  • 1. Uterine Sarcoma: Clinico-pathological characteristics and Treatment modalities outcome. A single institution retrospective analysis from Saudi Arabia Khalid Sait , Nisreen Affinan, Mohamed El Sayed , Shadi Al khayyat , Ahmed Ghanem ,Reem Abayazid , Hesham Sait
  • 2. Introduction • 3-5% of uterine cancers. • Arising from myometrium and connective tissues. • Present at younger age.
  • 4. • The prognosis of these cancer is poor. • Recurrence rate is high. • Data limitation. • Role of chemotherapy and radiation.
  • 5. Uterine Sarcoma: Clinico-pathological characteristics and Treatment modalities outcome. A single institution retrospective analysis from Saudi Arabia
  • 6. Patient and Methodology • All patient with pathological diagnosis of uterine sarcoma. • Patient treated in King Abdulaziz University Hospital (KAUH) between 2000-2012. • All histology reviewed at KAUH. • FIGO 2009 • DFS and OS at 2 and 5 years.
  • 7.
  • 8.
  • 11. • Cox Regression model: Disease-Free Survival 1-Advanced age (p=0.015) and Lymphovascular invasion (p=0.0007). Overall Survial 1- Advanced age ( p=0.005) lymph node involvement ( p= 0.029) have poor out come. 2- Chemotherapy ( p= 0.033) Radoitherapy (p= 0.015) have better outcome.
  • 12. Conclusion • Uterine sarcoma heterogonous disease. • Prognosis is poor with high risk of recurrence. • Advanced age, LVI and nodal involvement are associated with worse outcome. • Limitation: 1-Number. 2- Need prospective.