Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review
Endometrial stromal tumors are rare uterine tumors (<1%). Four main categories include endometrial stromal nodule, low-grade endometrial stromal sarcoma (LG-ESS), high-grade endometrial stromal sarcoma (HG-ESS), and uterine undifferentiated sarcoma (UUS). This review is a series of articles discu...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-08-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455916300596 |
| _version_ | 1811323478054273024 |
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| author | Huann-Cheng Horng Kuo-Chang Wen Peng-Hui Wang Yi-Jen Chen Ming-Shyen Yen Heung-Tat Ng Yen-Hou Chang Yi Chang Hsiang-Tai Chao Kuan-Chong Chao Chi-Mu Chuang Chi-Hong Ho Chen-Yu Huang Zhi-Chen Hung Ling-Yu Jiang Hei-Yu Lau Hsin-Yang Li Chi-Yao Lin Chia-Hao Liu Pi-Lin Sun Nae-Fang Twu Hua-Hsi Wu Hann-Chin Yu Fong-Yuan Ju Chih-Ping Tsai Wen-Hsun Chang Yen-Mei Hsu Na-Rong Lee Chih-Yao Chen Ting-Chen Chang Wen-Chun Chang Chii-Hou Chen Ruey-Jian Chen Song-Nan Chow Yih-Ron Lien Bor-Ching Sheu Pao-Ling Torng Men-Luh Yen Wen-Ling Lee Kuan-Chin Wang Chih-Long Chang Chih-Ping Chen Jen-Ruei Chen Tze-Chien Chen Jian-Pei Huang Ming-Chao Huang Yeou-Lih Wang Cheng-Chang Chang Jah-Yao Liu Her-Young Su Yu-Chi Wang Mu-Hsien Yu Lee-Wen Huang Kok-Min Seow Tsung-Hsuan Lai Fa-Kung Lee Ching-Hui Chen Ben-Shian Huang Sheng-Mou Hsiao Hsu-Dong Sun Wen-Yih Wu Sen-Wen Teng Kuo-Hu Chen Jeng-Hsiu Hung Hung-Cheng Lai Chiou-Chung Yuan Ching-Hung Hsieh Chin-Jung Wang Shing-Jyh Chang Man-Jung Hung Shih-Tien Hsu Yu-Min Ke Chien-Hsing Lu Lou Sun Wei-Chun Chang Yao-Ching Hung Wu-Chou Lin Po-Hui Wang Tze-Ho Chen Yiu-Tai Li Meng-Hsing Wu Kuo-Feng Huang Hung-Chun Fu San-Nung Chen An-Jen Chiang Ju-Yueh Li Li-Te Lin Hsiao-Wen Tsai Kuan-Hao Tsui |
| author_facet | Huann-Cheng Horng Kuo-Chang Wen Peng-Hui Wang Yi-Jen Chen Ming-Shyen Yen Heung-Tat Ng Yen-Hou Chang Yi Chang Hsiang-Tai Chao Kuan-Chong Chao Chi-Mu Chuang Chi-Hong Ho Chen-Yu Huang Zhi-Chen Hung Ling-Yu Jiang Hei-Yu Lau Hsin-Yang Li Chi-Yao Lin Chia-Hao Liu Pi-Lin Sun Nae-Fang Twu Hua-Hsi Wu Hann-Chin Yu Fong-Yuan Ju Chih-Ping Tsai Wen-Hsun Chang Yen-Mei Hsu Na-Rong Lee Chih-Yao Chen Ting-Chen Chang Wen-Chun Chang Chii-Hou Chen Ruey-Jian Chen Song-Nan Chow Yih-Ron Lien Bor-Ching Sheu Pao-Ling Torng Men-Luh Yen Wen-Ling Lee Kuan-Chin Wang Chih-Long Chang Chih-Ping Chen Jen-Ruei Chen Tze-Chien Chen Jian-Pei Huang Ming-Chao Huang Yeou-Lih Wang Cheng-Chang Chang Jah-Yao Liu Her-Young Su Yu-Chi Wang Mu-Hsien Yu Lee-Wen Huang Kok-Min Seow Tsung-Hsuan Lai Fa-Kung Lee Ching-Hui Chen Ben-Shian Huang Sheng-Mou Hsiao Hsu-Dong Sun Wen-Yih Wu Sen-Wen Teng Kuo-Hu Chen Jeng-Hsiu Hung Hung-Cheng Lai Chiou-Chung Yuan Ching-Hung Hsieh Chin-Jung Wang Shing-Jyh Chang Man-Jung Hung Shih-Tien Hsu Yu-Min Ke Chien-Hsing Lu Lou Sun Wei-Chun Chang Yao-Ching Hung Wu-Chou Lin Po-Hui Wang Tze-Ho Chen Yiu-Tai Li Meng-Hsing Wu Kuo-Feng Huang Hung-Chun Fu San-Nung Chen An-Jen Chiang Ju-Yueh Li Li-Te Lin Hsiao-Wen Tsai Kuan-Hao Tsui |
| author_sort | Huann-Cheng Horng |
| collection | DOAJ |
| description | Endometrial stromal tumors are rare uterine tumors (<1%). Four main categories include endometrial stromal nodule, low-grade endometrial stromal sarcoma (LG-ESS), high-grade endometrial stromal sarcoma (HG-ESS), and uterine undifferentiated sarcoma (UUS). This review is a series of articles discussing the uterine sarcomas. LG-ESS, a hormone-dependent tumor harboring chromosomal rearrangement, is an indolent tumor with a favorable prognosis, but characterized by late recurrences even in patients with Stage I disease, suggesting the requirement of a long-term follow-up. Patients with HG-ESS, based on the identification of YWHAE-NUTM2A/B (YWHAE-FAM22A/B) gene fusion, typically present with advanced stage diseases and frequently have recurrences, usually within a few years after initial surgery. UUS is, a high-grade sarcoma, extremely rare, lacking a specific line of differentiation, which is a diagnosis of exclusion (the wastebasket category, which fails to fulfill the morphological and immunohistochemical criteria of translocation-positive ESS). Surgery is the main strategy in the management of uterine sarcoma. Due to rarity, complex biological characteristics, and unknown etiology and risk factors of uterine sarcomas, the role of adjuvant therapy is not clear. Only LG-ESS might respond to progestins or aromatase inhibitors. |
| first_indexed | 2024-04-13T13:55:50Z |
| format | Article |
| id | doaj.art-cac2fc7b6f58434a88b3a5bb2e50a14e |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-13T13:55:50Z |
| publishDate | 2016-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-cac2fc7b6f58434a88b3a5bb2e50a14e2022-12-22T02:44:12ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592016-08-0155447247910.1016/j.tjog.2016.04.034Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic reviewHuann-Cheng HorngKuo-Chang WenPeng-Hui WangYi-Jen ChenMing-Shyen YenHeung-Tat NgYen-Hou Chang0Yi Chang1Hsiang-Tai Chao2Kuan-Chong Chao3Chi-Mu Chuang4Chi-Hong Ho5Chen-Yu Huang6Zhi-Chen Hung7Ling-Yu Jiang8Hei-Yu Lau9Hsin-Yang Li10Chi-Yao Lin11Chia-Hao Liu12Pi-Lin Sun13Nae-Fang Twu14Hua-Hsi Wu15Hann-Chin Yu16Fong-Yuan Ju17Chih-Ping Tsai18Wen-Hsun Chang19Yen-Mei Hsu20Na-Rong Lee21Chih-Yao Chen22Ting-Chen Chang23Wen-Chun Chang24Chii-Hou Chen25Ruey-Jian Chen26Song-Nan Chow27Yih-Ron Lien28Bor-Ching Sheu29Pao-Ling Torng30Men-Luh Yen31Wen-Ling Lee32Kuan-Chin Wang33Chih-Long Chang34Chih-Ping Chen35Jen-Ruei Chen36Tze-Chien Chen37Jian-Pei Huang38Ming-Chao Huang39Yeou-Lih Wang40Cheng-Chang Chang41Jah-Yao Liu42Her-Young Su43Yu-Chi Wang44Mu-Hsien Yu45Lee-Wen Huang46Kok-Min Seow47Tsung-Hsuan Lai48Fa-Kung Lee49Ching-Hui Chen50Ben-Shian Huang51Sheng-Mou Hsiao52Hsu-Dong Sun53Wen-Yih Wu54Sen-Wen Teng55Kuo-Hu Chen56Jeng-Hsiu Hung57Hung-Cheng Lai58Chiou-Chung Yuan59Ching-Hung Hsieh60Chin-Jung Wang61Shing-Jyh Chang62Man-Jung Hung63Shih-Tien Hsu64Yu-Min Ke65Chien-Hsing Lu66Lou Sun67Wei-Chun Chang68Yao-Ching Hung69Wu-Chou Lin70Po-Hui Wang71Tze-Ho Chen72Yiu-Tai Li73Meng-Hsing Wu74Kuo-Feng Huang75Hung-Chun Fu76San-Nung Chen77An-Jen Chiang78Ju-Yueh Li79Li-Te Lin80Hsiao-Wen Tsai81Kuan-Hao Tsui82Department of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, TaiwanEmergency Department, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, and Department of Nursing, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, and Department of Nursing, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, and Department of Nursing, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, TaiwanDianthus MFM Center Minquan, Dianthus MFM Group, and National Yang-Ming University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Taiwan University Hospital and National Taiwan University, Taipei, TaiwanDepartment of Medicine, Cheng-Hsin General Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital and National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital and National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital and National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital and National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Tri-Service General Hospital and National Defense Medical Center, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Cathay General Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Cathay General Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University Hospital and Taipei Medical University, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University Hospital, Ilan, TaiwanDepartment of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Cardinal Tien Hospital-Hsintien and Fu Jen Catholic University, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Taipei Buddhist Tzu Chi General Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Taipei Buddhist Tzu Chi General Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Clinic of Fu Jen Catholic University, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, and Chang Gung University, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Mackay Memorial Hospital, Hsinchu, TaiwanDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital and China Medical University, Taichung, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital and China Medical University, Taichung, TaiwanDepartment of Obstetrics and Gynecology, China Medical University Hospital and China Medical University, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Chung-Shang General Hospital and Chung-Shang Medical University, Taichung, TaiwanDepartment of Obstetrics and Gynecology, Changhua Christian Hospital, Changhua, TaiwanDepartment of Obstetrics and Gynecology, Kuo General Hospital, Tainan, TaiwanDepartment of Obstetrics and Gynecology, National Cheng Kung University Hospital and National Cheng Kung University, Tainan, TaiwanDepartment of Obstetrics and Gynecology, Chi-Mei Medical Center, Tainan, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanEndometrial stromal tumors are rare uterine tumors (<1%). Four main categories include endometrial stromal nodule, low-grade endometrial stromal sarcoma (LG-ESS), high-grade endometrial stromal sarcoma (HG-ESS), and uterine undifferentiated sarcoma (UUS). This review is a series of articles discussing the uterine sarcomas. LG-ESS, a hormone-dependent tumor harboring chromosomal rearrangement, is an indolent tumor with a favorable prognosis, but characterized by late recurrences even in patients with Stage I disease, suggesting the requirement of a long-term follow-up. Patients with HG-ESS, based on the identification of YWHAE-NUTM2A/B (YWHAE-FAM22A/B) gene fusion, typically present with advanced stage diseases and frequently have recurrences, usually within a few years after initial surgery. UUS is, a high-grade sarcoma, extremely rare, lacking a specific line of differentiation, which is a diagnosis of exclusion (the wastebasket category, which fails to fulfill the morphological and immunohistochemical criteria of translocation-positive ESS). Surgery is the main strategy in the management of uterine sarcoma. Due to rarity, complex biological characteristics, and unknown etiology and risk factors of uterine sarcomas, the role of adjuvant therapy is not clear. Only LG-ESS might respond to progestins or aromatase inhibitors.http://www.sciencedirect.com/science/article/pii/S1028455916300596diagnosisendometrial stromal sarcomatreatmentundifferentiated sarcomauterine sarcomauterus |
| spellingShingle | Huann-Cheng Horng Kuo-Chang Wen Peng-Hui Wang Yi-Jen Chen Ming-Shyen Yen Heung-Tat Ng Yen-Hou Chang Yi Chang Hsiang-Tai Chao Kuan-Chong Chao Chi-Mu Chuang Chi-Hong Ho Chen-Yu Huang Zhi-Chen Hung Ling-Yu Jiang Hei-Yu Lau Hsin-Yang Li Chi-Yao Lin Chia-Hao Liu Pi-Lin Sun Nae-Fang Twu Hua-Hsi Wu Hann-Chin Yu Fong-Yuan Ju Chih-Ping Tsai Wen-Hsun Chang Yen-Mei Hsu Na-Rong Lee Chih-Yao Chen Ting-Chen Chang Wen-Chun Chang Chii-Hou Chen Ruey-Jian Chen Song-Nan Chow Yih-Ron Lien Bor-Ching Sheu Pao-Ling Torng Men-Luh Yen Wen-Ling Lee Kuan-Chin Wang Chih-Long Chang Chih-Ping Chen Jen-Ruei Chen Tze-Chien Chen Jian-Pei Huang Ming-Chao Huang Yeou-Lih Wang Cheng-Chang Chang Jah-Yao Liu Her-Young Su Yu-Chi Wang Mu-Hsien Yu Lee-Wen Huang Kok-Min Seow Tsung-Hsuan Lai Fa-Kung Lee Ching-Hui Chen Ben-Shian Huang Sheng-Mou Hsiao Hsu-Dong Sun Wen-Yih Wu Sen-Wen Teng Kuo-Hu Chen Jeng-Hsiu Hung Hung-Cheng Lai Chiou-Chung Yuan Ching-Hung Hsieh Chin-Jung Wang Shing-Jyh Chang Man-Jung Hung Shih-Tien Hsu Yu-Min Ke Chien-Hsing Lu Lou Sun Wei-Chun Chang Yao-Ching Hung Wu-Chou Lin Po-Hui Wang Tze-Ho Chen Yiu-Tai Li Meng-Hsing Wu Kuo-Feng Huang Hung-Chun Fu San-Nung Chen An-Jen Chiang Ju-Yueh Li Li-Te Lin Hsiao-Wen Tsai Kuan-Hao Tsui Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review Taiwanese Journal of Obstetrics & Gynecology diagnosis endometrial stromal sarcoma treatment undifferentiated sarcoma uterine sarcoma uterus |
| title | Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review |
| title_full | Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review |
| title_fullStr | Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review |
| title_full_unstemmed | Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review |
| title_short | Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review |
| title_sort | uterine sarcoma part ii uterine endometrial stromal sarcoma the tag systematic review |
| topic | diagnosis endometrial stromal sarcoma treatment undifferentiated sarcoma uterine sarcoma uterus |
| url | http://www.sciencedirect.com/science/article/pii/S1028455916300596 |
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