Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review

The purpose of this study is to review the clinical characteristics, treatment modalities, and potential contributing and prognostic factors of bone metastases from gynecological cancers (GCs). A systematic literature search on PubMed, Scopus, Web of Science Core Collection and Cochrane Central Regi...

Full description

Bibliographic Details
Main Authors: Francesca Salamanna, Anna Myriam Perrone, Deyanira Contartese, Veronica Borsari, Alessandro Gasbarrini, Silvia Terzi, Pierandrea De Iaco, Milena Fini
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/9/1626
_version_ 1797519706025885696
author Francesca Salamanna
Anna Myriam Perrone
Deyanira Contartese
Veronica Borsari
Alessandro Gasbarrini
Silvia Terzi
Pierandrea De Iaco
Milena Fini
author_facet Francesca Salamanna
Anna Myriam Perrone
Deyanira Contartese
Veronica Borsari
Alessandro Gasbarrini
Silvia Terzi
Pierandrea De Iaco
Milena Fini
author_sort Francesca Salamanna
collection DOAJ
description The purpose of this study is to review the clinical characteristics, treatment modalities, and potential contributing and prognostic factors of bone metastases from gynecological cancers (GCs). A systematic literature search on PubMed, Scopus, Web of Science Core Collection and Cochrane Central Register of Controlled Trials databases was conducted. Thirty-one studies, all retrospective, were included in this review, for a total of 2880 patients with GC bone metastases. Primary tumors leading to bone metastases included endometrial cancer (EC), cervical cancer (CC), ovarian cancer (OC), uterine sarcoma (US) and vulvar cancer (VuC), mainly with an International Federation of Gynecology and Obstetrics (FIGO) Stage of III and IV. The main bone metastatic lesion site was the vertebral column, followed by the pelvic bone and lower extremity bones. The median survival rate after bone metastases diagnosis ranged from 3.0 to 45 months. The most frequent treatments were palliative and included radiotherapy and chemotherapy, followed by surgery. The findings of this review give a first dataset for a greater understanding of GC bone metastases that could help clinicians move toward a more “personalized” and thus more effective patient management.
first_indexed 2024-03-10T07:46:35Z
format Article
id doaj.art-904821b64e0c4911979c7c8e98a585e0
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-10T07:46:35Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-904821b64e0c4911979c7c8e98a585e02023-11-22T12:39:56ZengMDPI AGDiagnostics2075-44182021-09-01119162610.3390/diagnostics11091626Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic ReviewFrancesca Salamanna0Anna Myriam Perrone1Deyanira Contartese2Veronica Borsari3Alessandro Gasbarrini4Silvia Terzi5Pierandrea De Iaco6Milena Fini7Complex Structure Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyDivision of Oncologic Gynecology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyComplex Structure Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyComplex Structure Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyDepartment of Oncologic and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyDepartment of Oncologic and Degenerative Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyDivision of Oncologic Gynecology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyComplex Structure Surgical Sciences and Technologies, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, ItalyThe purpose of this study is to review the clinical characteristics, treatment modalities, and potential contributing and prognostic factors of bone metastases from gynecological cancers (GCs). A systematic literature search on PubMed, Scopus, Web of Science Core Collection and Cochrane Central Register of Controlled Trials databases was conducted. Thirty-one studies, all retrospective, were included in this review, for a total of 2880 patients with GC bone metastases. Primary tumors leading to bone metastases included endometrial cancer (EC), cervical cancer (CC), ovarian cancer (OC), uterine sarcoma (US) and vulvar cancer (VuC), mainly with an International Federation of Gynecology and Obstetrics (FIGO) Stage of III and IV. The main bone metastatic lesion site was the vertebral column, followed by the pelvic bone and lower extremity bones. The median survival rate after bone metastases diagnosis ranged from 3.0 to 45 months. The most frequent treatments were palliative and included radiotherapy and chemotherapy, followed by surgery. The findings of this review give a first dataset for a greater understanding of GC bone metastases that could help clinicians move toward a more “personalized” and thus more effective patient management.https://www.mdpi.com/2075-4418/11/9/1626bone metastasesgynecological cancerclinical studiessystematic review
spellingShingle Francesca Salamanna
Anna Myriam Perrone
Deyanira Contartese
Veronica Borsari
Alessandro Gasbarrini
Silvia Terzi
Pierandrea De Iaco
Milena Fini
Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
Diagnostics
bone metastases
gynecological cancer
clinical studies
systematic review
title Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
title_full Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
title_fullStr Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
title_full_unstemmed Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
title_short Clinical Characteristics, Treatment Modalities, and Potential Contributing and Prognostic Factors in Patients with Bone Metastases from Gynecological Cancers: A Systematic Review
title_sort clinical characteristics treatment modalities and potential contributing and prognostic factors in patients with bone metastases from gynecological cancers a systematic review
topic bone metastases
gynecological cancer
clinical studies
systematic review
url https://www.mdpi.com/2075-4418/11/9/1626
work_keys_str_mv AT francescasalamanna clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT annamyriamperrone clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT deyaniracontartese clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT veronicaborsari clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT alessandrogasbarrini clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT silviaterzi clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT pierandreadeiaco clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview
AT milenafini clinicalcharacteristicstreatmentmodalitiesandpotentialcontributingandprognosticfactorsinpatientswithbonemetastasesfromgynecologicalcancersasystematicreview