Distribution analysis of gynecological carcinomas with concurrent second primary carcinomas - Summary - MDSpire

Distribution analysis of gynecological carcinomas with concurrent second primary carcinomas

  • By

  • Si-yi Li

  • Chen-ying Liu

  • Xing-yun Xie

  • Lan-lan Chen

  • Wen-juan Chen

  • June 23, 2026

  • 0 min

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Objective:

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.

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