To investigate the characteristics of uterine sarcoma and identify risk factors for recurrence specifically in cases of complete resection of stage I uterine sarcoma.
Key Findings:
The median age of patients was 48 years, with 66% having a history of delivery.
The most common presenting symptoms were abdominal pain (29.4%) and abnormal bleeding (25.5%).
Histological types included ULMS (50.9%), LG-ESS (23.6%), and others, highlighting the diversity in tumor behavior.
Stage I cases accounted for 64.8% of the cohort, with a focus on ULMS and LG-ESS.
Interpretation:
No significant differences were found in basic characteristics between recurrence and non-recurrence groups in stage I ULMS, indicating that other factors, such as tumor biology or treatment variations, may influence recurrence risk.
Limitations:
Retrospective design may introduce selection bias and limit causal inferences.
Limited sample size may affect the generalizability of findings.
Incomplete data for some parameters could impact analysis.
Conclusion:
Understanding recurrence risk factors in stage I uterine sarcoma is crucial for guiding surgical and adjuvant treatment decisions, ultimately improving patient outcomes.