Table 2.
First Author | Study Period | Definition of Risk | Country | Number of Patients | Patients with LVM (%) | Patients with MM (%) | Patients with ITCs (%) |
---|---|---|---|---|---|---|---|
Raimond [73] | 2000–2012 | Apparent stage I, ESMO low- § and intermediate-risk ¥ EC | France | 136 | 15 (11) | NR | NR |
Todo [74] | 1997–2004 | Intermediate-risk EC: early-stage with any of the following: >50% MI, grade 3 disease, non-endometrioid, with cervical involvement, LVSI, PPC | Japan | 61 | 9 (14.8) | 3 (5) | 6 (9.8) |
Zahl-Eriksson [75] | 2004–2013 | Low-risk EC: MI < 50%, endometrioid, any grade | USA | 642 | 22 (3.4) | 2 (0.3) | 20 (3.1) |
Ducie [76] | 2004–2013 | Intermediate-risk EC: apparent early-stage with >50% MI, any grade, endometrioid; high-risk EC: serous, clear-cell | USA | 202 | 20 (9.9) | 8 (4) | 12 (5.9) |
Persson [33] | 2014-2018 | High-risk EC: apparent early stage with any of the following: endometrioid grade 3, non-endometrioid, >50% MI, CSI, non-diploid cytometry | Sweden | 257 | 19 (7.4) | 9 (3.5) | 10 (3.9) |
Bjornholt [77] | 2017–2022 | Apparent early-stage endometrioid EC, low-grade, any MI | Denmark | 591 | 36 (5.7) | 20 (3.1) | 16 (2.6) |
Burg [78] | 2016–2021 | Apparent early-stage, ESGO low- £ and intermediate-risk ¤ EC | Netherlands | 152 | NR | NR | 3 (2) |
Abbreviations: EC: endometrial carcinoma; LVM: low-volume metastases; MM: micro-metastases; ITCs: isolated tumor cells; LVSI: lymphovascular space invasion; PPC: positive peritoneal cytology; MI: myometrial invasion; NR: not reported. § ESMO low-risk: endometrioid, grade 1–2, stage IA; ¥ ESMO Intermediate-risk: endometrioid, stage IA, grade 3, or stage IB grade 1 or 2; £ ESGO low-risk: stage IA endometrioid, low-grade, LVSI negative or focal; ¤ ESGO intermediate-risk: stage IB endometrioid, low-grade, LVSI negative or focal OR stage IA endometrioid, high-grade, LVSI negative or focal OR stage IA non-endometrioid (serous, clear cell, undifferentiated carcinoma, carcinosarcoma, mixed) without myometrial invasion.