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. 2024 May;24(2):203-208.
doi: 10.18295/squmj.3.2024.015. Epub 2024 May 27.

Clinicopathological Features and Outcomes of Endometrial Cancer: A single institution experience

Ikram A Burney  1 , Shahd Al Ghafri  2 , Jawahar Al Noumani  3 , Anisa Al Jabri  4 , Anjum O Hasan  1 , Sarya Bella  1 , Hasan Al-Sayegh  5 , Radhiya Al Ajmi  6 , Moza Al Kalbani  1
Affiliations

Clinicopathological Features and Outcomes of Endometrial Cancer: A single institution experience

Ikram A Burney et al. Sultan Qaboos Univ Med J. 2024 May.

Abstract

Objectives: This study aimed to report the demographic features, clinical presentation, pathological types and long-term outcomes of patients diagnosed with endometrial cancer (EC) in Oman. EC is the sixth most common cancer in women worldwide and the fifth most common cancer in women in Oman. Survival outcomes of EC have not been reported previously from Oman.

Methods: This retrospective study was carried out on consecutive patients treated at the Sultan Qaboos University Hospital, Muscat, Oman, between 2008 and 2020. Survival was estimated using the Kaplan and Meier method.

Results: A total of 50 patients with EC were included. The median age was 61 years (range: 31-86 years), and 72% of the patients had type I histology. Most patients were diagnosed with stage IA and IB EC (49% and 20%, respectively), and the majority had grade 1 or 2 tumours (40% and 34%, respectively). Overall, the 5-year survival and 10-year survival rates were estimated to be 70% and 56%, respectively. Weight (>75 kg) and body mass index (>30 kg/m2) were significantly associated with better survival. Tumour histology (type I versus type II or carcinosarcoma), grade (1 versus 2 versus 3) and stage (IA or IB versus II-IV) were associated with better overall survival (P = 0.007, P <0.0001 and P <0.0003, respectively). Patients diagnosed with EC with co-morbidities, other than obesity, had inferior survival compared to those without co-morbidities.

Conclusion: Median age at presentation, histological sub-type, clinical stage and outcomes are comparable to the published literature. Almost two-thirds of the patients were obese. These data could be used as a benchmark for outcomes of EC in the region.

Keywords: Cancer; Endometrial Cancer; Obesity; Oman; Survival.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Overall survival of patients with endometrial cancer by (A) tumour stage and (B) tumour grade.
Figure 2
Figure 2
Overall survival of patients with endometrial cancer by histological type.
Figure 3
Figure 3
Overall survival of patients with endometrial cancer by (A) weight and (B) body mass index.
Figure 4
Figure 4
Overall survival of patients with endometrial cancer by (A) hypertension, (B) ischaemic heart disease, (C) diabetes mellitus and (D) hyperlipidaemia.
See this image and copyright information in PMC

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