PMID- 24407572 OWN - NLM STAT- MEDLINE DCOM- 20141014 LR - 20181203 IS - 1525-1438 (Electronic) IS - 1048-891X (Linking) VI - 24 IP - 2 DP - 2014 Feb TI - Prognosis of adenosquamous carcinoma compared with adenocarcinoma in uterine cervical cancer: a systematic review and meta-analysis of observational studies. PG - 289-94 LID - 10.1097/IGC.0000000000000063 [doi] AB - OBJECTIVE: The aim of this study was to compare the survival outcomes of adenosquamous carcinoma (ASC) and adenocarcinoma (AC) of the cervix. METHODS: We searched PubMed and Embase for observational studies that compared the outcomes of 2 histologic subtypes. Hazards ratios (HRs) with 95% confidence intervals (CIs) were calculated with a fixed effects model. RESULTS: A total of 17 studies were included in the analyses. Patients with ASC were associated significantly with poorer overall survival (death HR, 1.27; 95% CI, 1.12-1.43; I(2) = 0%) and recurrence-free survival (recurrence HR, 1.43; 95% CI, 1.05-1.95; I(2) = 19.4%) than those with AC. For clinical stages I and II in particular, ASC predicted significantly poorer outcomes compared with AC (death HR, 1.41; 95% CI, 1.17-1.70; I(2) = 0%). CONCLUSIONS: This meta-analysis suggests that ASC may have poorer outcomes compared with AC of the cervix. FAU - Lee, Jung-Yun AU - Lee JY AD - *Department of Obstetrics and Gynecology, College of Medicine, Seoul National University; daggerDepartment of Obstetrics and Gynecology, Inje University Sanggye Paik Hospital; and double daggerDepartments of Medicine, and section signPathology, Seoul National University College of Medicine, Seoul, Korea. FAU - Lee, Chulmin AU - Lee C FAU - Hahn, Seokyung AU - Hahn S FAU - Kim, Min A AU - Kim MA FAU - Kim, Hee Seung AU - Kim HS FAU - Chung, Hyun Hoon AU - Chung HH FAU - Kim, Jae-Weon AU - Kim JW FAU - Park, Noh Hyun AU - Park NH FAU - Song, Yong-Sang AU - Song YS LA - eng PT - Comparative Study PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - England TA - Int J Gynecol Cancer JT - International journal of gynecological cancer : official journal of the International Gynecological Cancer Society JID - 9111626 SB - IM MH - Adenocarcinoma/diagnosis/*mortality MH - Carcinoma, Adenosquamous/diagnosis/*mortality MH - Female MH - Humans MH - Observational Studies as Topic MH - Prognosis MH - Uterine Cervical Neoplasms/diagnosis/*mortality EDAT- 2014/01/11 06:00 MHDA- 2014/10/15 06:00 CRDT- 2014/01/11 06:00 PHST- 2014/01/11 06:00 [entrez] PHST- 2014/01/11 06:00 [pubmed] PHST- 2014/10/15 06:00 [medline] AID - 10.1097/IGC.0000000000000063 [doi] PST - ppublish SO - Int J Gynecol Cancer. 2014 Feb;24(2):289-94. doi: 10.1097/IGC.0000000000000063.