Léiomyosarcomes utérins: épidémiologie, histologie, biologie, diagnostic, pronostic et traitement

Julien Hadoux, Philippe Morice, Catherine Lhommé, Pierre Duvillard, Corinne Balleyguier, Christine Haie-Meder, Sébastien Gouy, Catherine Uzan, Renaud Mazeron, Youssef Tazi, Alexandra Leary, Florence Duffaud, Patricia Pautier

    Résultats de recherche: Contribution à un journalArticleRevue par des pairs

    5 Citations (Scopus)

    Résumé

    Uterine leiomyosarcoma is a rare disease with a poor prognosis. The rarity of this tumor needs a specialized management in tertiary reference centers in order to provide patients with optimal diagnostic, prognostic and therapeutic care. The pathological diagnosis relies on the presence of three characteristics in proliferating smooth muscle cells: necrosis, cytologic atypia and mitosis. Despite progress in the knowledge of the biology of these tumors, no oncogenic driver has been found. Prognosis depends mainly on the age of the patient, race, FIGO stage, mitotic index and hormonal receptor expression in the tumor. Surgery is one of the cornerstones of management and cytotoxic chemotherapy is the mainstay of treatment in metastatic disease with a potential role in the adjuvant setting. In locally advanced or metastatic disease, prognosis is poor with a median overall survival of about 12 to 14 months despite a 30% response rate to polychemotherapy regimens. Antiangiogenics and hormonal therapy have a role to play in the setting of metastatic disease. It is mandatory to include such patients in clinical trials aiming to improve the therapeutic management of these patients. Multimodal therapy can improve the prognosis of selected patients too.

    Titre traduit de la contributionUterine leiomyosarcoma: Epidemiology, pathology, biology, diagnosis, prognosis and treatment
    langue originaleFrançais
    Pages (de - à)903-915
    Nombre de pages13
    journalBulletin du Cancer
    Volume100
    Numéro de publication9
    Les DOIs
    étatPublié - 1 janv. 2013

    mots-clés

    • Chemotherapy
    • Multidisciplinarity
    • Rare disease
    • Uterine leiomyosarcoma

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