To examine the distribution traits, timing of occurrence, and clinicopathological associations of second primary carcinoma (SPC) in individuals with cervical carcinoma (CC) and endometrial carcinoma (EC).
Approach:
Key Findings:
Median age at first diagnosis: CC 52 years, EC 55 years.
Median age of SPC: CC 56 years, EC 57.5 years.
Median latency periods for SPC: CC 2 years, EC 0.5 years.
87.0% of CC patients with SPC had cervical squamous cell carcinoma, predominantly in stages I-II (77.5%).
Most frequent SPC sites in CC: lung (25.3%), thyroid (22.5%), breast (11.1%).
87.3% of EC patients with SPC had endometrioid adenocarcinoma, with 79.4% diagnosed at stage I-II.
SPC in EC primarily occurs in thyroid (20.6%), ovary (16.7%), cervix (15.7%), with 82.4% at stage I-II.
Interpretation:
The study reveals unique patterns in the sites and stages of SPC following CC and EC, influenced by their pathological classifications.
Limitations:
Retrospective design may introduce biases.
Limited to a single institution's data, which may affect generalizability.
Conclusion:
The findings provide essential insights for the reassessment of CC and EC, aiding in the identification of SPC.