Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

External Validation of the New 2023 FIGO Staging System in Endometrial Cancer Patients: 12-Year Experience from an ESGO Accredited Center

Version 1 : Received: 22 August 2024 / Approved: 23 August 2024 / Online: 23 August 2024 (12:24:46 CEST)

How to cite: Tsolakidis, D.; Zouzoulas, D.; Sofianou, I.; Karalis, T.; Chatzistamatiou, K.; Theodoulidis, V.; Topalidou, M.; Timotheadou, E.; Grimbizis, G. External Validation of the New 2023 FIGO Staging System in Endometrial Cancer Patients: 12-Year Experience from an ESGO Accredited Center. Preprints 2024, 2024081708. https://doi.org/10.20944/preprints202408.1708.v1 Tsolakidis, D.; Zouzoulas, D.; Sofianou, I.; Karalis, T.; Chatzistamatiou, K.; Theodoulidis, V.; Topalidou, M.; Timotheadou, E.; Grimbizis, G. External Validation of the New 2023 FIGO Staging System in Endometrial Cancer Patients: 12-Year Experience from an ESGO Accredited Center. Preprints 2024, 2024081708. https://doi.org/10.20944/preprints202408.1708.v1

Abstract

Background and Objectives: The new molecular classification of endometrial cancer continuously changes the management of the disease in every day clinical practice. Lately, FIGO released a new staging system for endometrial cancer, which incorporates molecular sub-stages and subdivides further early-stage disease. The aim of this study is to investigate the differences between the two FIGO staging systems and evaluate the prognostic precision of the new one. Materials and Methods: We retrospectively analyzed the records of patients with endometrial cancer that were fully treated in the 1st Department of Obstetrics-Gynecology, 2012-2023. Patient characteristics, oncological outcome and follow-up information were collected. The primary outcomes were the stage shifts and the survival data. Results: 67 (15.5%) patients had a stage shift and the majority of them concerned early-stage disease and specifically up-shift from 2009 stages IA and IB to 2023 stage IIC. Concerning, survival a better median and 5-year PFS was present in Stage II disease and when compering the prognostic precision of the two FIGO staging systems no significant difference was present. Conclusions: The new 2023 FIGO staging system better distinguishes early-stage endometrial cancer into its prognostic groups and seems to be as precise as the old 2009 FIGO staging system.

Keywords

endometrial cancer; cancer staging; prognosis; survival

Subject

Medicine and Pharmacology, Obstetrics and Gynaecology

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