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Cancer Causes & Control

, Volume 21, Issue 11, pp 1851–1856 | Cite as

Factors associated with Type I and Type II endometrial cancer

  • Ashley S. Felix
  • Joel L. Weissfeld
  • Roslyn A. Stone
  • Robert Bowser
  • Mamatha Chivukula
  • Robert P. Edwards
  • Faina Linkov
Original paper

Abstract

Objective

We investigated risk factors for Type II (n = 176) vs. Type I (n = 1,576) endometrial cancer (EC) in cases treated at Magee-Womens Hospital between 1996 and 2008.

Methods

Clinical data were available from the University of Pittsburgh Medical Center (UPMC) Network Cancer Registry. Logistic regression was used to estimate the adjusted odds of having Type II EC vs. Type I EC. Risk factors of interest in this analysis were age, race, body mass index (BMI), year of diagnosis, parity, menopausal status, and history of additional primary tumors.

Results

Relative to women with Type I EC, women with Type II EC were more likely to be older at diagnosis (OR: 1.03 per 1 year increase in age, 95% CI 1.01–1.05), of non-white race (OR: 2.95, 95% CI 1.66–5.27), have a history of additional primary tumors (OR: 1.56, 95% CI 1.05–2.32), and less likely to be obese (OR: 0.45, 95% CI 0.29–0.70).

Conclusion

In this large retrospective cohort of patients with EC, the striking difference in risk factors associated with Type II vs. Type I tumors suggests that these subtypes represent different disease entities that require different treatment modalities. Currently, Type II cases have a significantly worse prognosis compared to Type I. Further characterization of risk factors associated with developing Type II tumors is needed to prevent this aggressive malignancy.

Keywords

Endometrial cancer Epidemiology Type I Type II 

Notes

Acknowledgments

We wish to thank the University of Pittsburgh Medical Center (UPMC) Registry Information Services (RIS) team, especially Sharon Winters and Louise Mazur, for their help with procuring the data for this study as well as explaining technical details regarding the registry.

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Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Ashley S. Felix
    • 1
    • 2
  • Joel L. Weissfeld
    • 1
    • 2
  • Roslyn A. Stone
    • 3
  • Robert Bowser
    • 4
  • Mamatha Chivukula
    • 5
  • Robert P. Edwards
    • 6
  • Faina Linkov
    • 1
    • 2
  1. 1.Division of Cancer Prevention and Population ScienceUniversity of Pittsburgh Cancer InstitutePittsburgh15232USA
  2. 2.Department of EpidemiologyUniversity of Pittsburgh Graduate School of Public HealthPittsburghUSA
  3. 3.Department of BiostatisticsUniversity of Pittsburgh Graduate School of Public HealthPittsburghUSA
  4. 4.Department of PathologyUniversity of Pittsburgh School of MedicinePittsburghUSA
  5. 5.Department of PathologyMagee-Womens Hospital of UPMC Health SystemPittsburghUSA
  6. 6.Department of Obstetrics and Gynecologic OncologyMagee-Womens Hospital of UPMC Health SystemPittsburghUSA

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