Table 1.
Patients with brain metastases from endometrial carcinoma documented in the literature.
Author (year) study period (Ref.) | No. of patients BM/EC | Age at BM | Stage (FIGO) of EC | Grade of EC | Hist of EC | Primary therapy for EC | Adj. therapy for EC | Interval EC to BM (mon.) | Other MTS | No. of BM | Site of BM | Therapy for BM | Survival after BM (mon.) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Salibi and Beltaos (1972) [25] | 1 | 63 | NA | NA | AC | HSO | NR | 6 | No | Single | Supra | S | AW 18 |
Nakano and Schoene (1975) [19] | 1 | 77 | NA | NA | CC | HSO | RT | 26 | Yes | Single | Supra | S + RT | D 4 |
Turner and Graf (1982) [26] | 1 | 83 | NA | G3 | AC | HSO | NR | NA | NA | Single | Supra | S | D 1 |
Aalders et al. (1984) 1960–1976 [24] | 11/3,393 | 11 NA | 11 NA | 11 NA | 11 NA | 11 NA | 11 NA | 11 NA | 8 No | 11 NA | 11 NA | 11 NA | 11 NA |
(0.3%) | 3 Yes | ||||||||||||
Ritchie et al. (1985) [27] | 1 | 61 | IIIc | NA | AC | HSO | RT | NA | Yes | Mul. | Supra | NA | D 4 |
Savage et al. (1987) [28] | 1 | 70 | I | G1 | AC | HSO | RT | 0 | Yes | Single | Supra | RT | D 14 |
Sawada et al. (1990) [29] | 1 | 43 | IIIc | G3 | AC | HSOL | RT | 2 | No | Single | Supra | S + RT | AW 84 |
Brezinka et al. (1990) [21] | 1 | 59 | Ic | G2 | AC | HSO | No | 2 | Yes | Single | Supra | S | D 1 |
Kottke-Marchant (1991) 1980–1988 [30] | 3 | 59 | IIIc | G3 | CC | HSO | C | − 3 | Yes | Single | Supra | S + RT | D 37 |
43 | IIIa | G3 | AC | HSO | No | 0 | No | Mult. | Both | S | D 1 | ||
46 | IIIa | G3 | AC | HSO | C | −2.5 | No | Single | Supra | S + RT | AW 9 | ||
De Porre and Tjokrowardojo (1992) 1965–1988 [31] | 11/2,293 | 67 | 11 NA | 11G3 | 1AS | HSOL | RT | 8 | 1 No | Single | Supra | S | D 14 |
(0.48%) | 10 NA | 10 NA | 10 NA | 10 NA | 10 NA | 10 NA | 10 NA | 10 NA | 10 NA | ||||
Thomas and Lambert (1992) [32] | 1 | 51 | I | NA | AC | HSO | RT | 24 | No | Single | Supra | S + RT | AW84 |
Wronski et al. (1993) [33] | 2 | 70 | NA | NA | AC | HSO | RT + C | 22 | Yes | Mult. | Infra | S + RT | D 5.5 |
60 | NA | NA | AC | HSO | RT | 88 | Yes | Mult. | Both | RT | D 2 | ||
Ruelle et al. (1994) [34] | 2 | 64 | NA | G3 | AC | HSO | RT + C | 14 | Yes | Single | Infra | S + RT | D 9 |
63 | I | G3 | AC | HSO | RT | −0.25 | No | Single | Supra | S + RT | AD 24 | ||
De Witte et al. (1996) [35] | 2 | 67 | 0 | NA | AC | HSO | No | 24 | No | Single | Supra | S + RT | D 60 |
40 | IIIc | G3 | AS | HSOL | C | -UK | No | Single | Supra | S + RT | NA | ||
Cormio et al. (1996) 1982–1994 [36] | 10/1,069 (0.9%) |
59 (47–71) | 3 Ib 2 Ic | 6 G3 | 8 AC | 5 HSO | 8 RT 2 C | 26 (3–81) | 4 yes | 6 Single | 7 Supra | 1 S | 1 (1–83) |
4 NA | 1 AS | 4 HSOL | 6 no | 4 mult. | 2 Both | 2 S + RT | |||||||
2 IIIa | 1 CC | 1 NA | 1 Infra | 1 RT 6 Steroids | |||||||||
1 IIIc | |||||||||||||
2 IV | |||||||||||||
Salvati et al. (1998) [37] | 2 | 48 | Ia | G3 | AC | HSO | RT | 10 | No | Single | Supra | S + RT + C | D 20 |
54 | Ia | G3 | AC | HSO | RT | 26 | No | Single | Supra | S + RT + C | D 74 | ||
Martínez-Mañas et al. (1998) [38] | 1 | 76 | IIb | NR | AC | HSO | RT | 18 | No | Single | NA | S | D 8 |
Ogawa et al. (1999) [39] | 2 | 43 | IIb | G2 | AC | HSOL | RT | 36 | Yes | Mult. | Supra | RT | D 5 |
64 | IIb | G3 | AC | HSOL | RT | 18 | Yes | Mult. | Both | RT | D 3 | ||
Crispino et al. (2000) [40] | 1 | 57 | Ic | G3 | NA | HSOL | RT | 12 | No | Single | Infra | S + RT | D 3 |
Mahmoud-Ahmed et al. (2001) 1985–1999 [41] | 10a | 51 (48–80) | 1 IIa | 10 NA | 7 AC | 2 HSOL | 2 RT | 8 (0.25–70) | 7 yes | 3 Single | 8 Supra | 5 RT | 3.25 |
1 IIIa | 3AS | 4HSO | 4 RT + C | 3 no | 7 Mult. | 1 Both | 2 S | (0.25–15.5) | |||||
2 IIIb | 4 RT + C | 4 No | 2-UK | 1 Infra | 3 S + RT | ||||||||
2 IIIc | |||||||||||||
4 IV | |||||||||||||
Petru et al. (2001) [42] | 2 | 59 | IVa | G3 | AC | HSO | C | -UK | No | Single | Supra | SRS | AW 171 |
60 | IIIc | G3 | SC | HSO | C | -UK | No | Single | Infra | SRS | D 15 | ||
Sewak et al. (2002) [43] | 1 | 63 | Ib | G3 | AC | HSOL | RT | 48+ | Yes | Single | Infra | S + RT | D 6 |
Shiohara et al. (2003) [44] | 1 | 48 | IIIa | G3 | AS | HSOL | No | 0 | No | Single | Supra | S + SRS + C | AW 38 |
Elliot et al. (2004) [45] | 1 | 51 | IIb | G3 | AC | HSOL | RT | 2 | No | Single | Supra | S + RT + C | AW 30 |
Gien et al. (2004) 1991–2003 [46] | 8/1,295 (0.6%) |
67.5 | 2IIb | 3 G2 | 4 AC | 3 HSO | 5 RT | 8.5 (0–40) | 6 yes | 4 Single | 4 Supra | 6 RT | 3.5 |
(48–82) | 4IIIc | 5 G3 | 2SC | 3HSOL | 2 C | 2 no | 4 Multi. | 2 Both | 1 C + RT | (0.25−7+) | |||
2IVb | 1CC | 1 RT | 1 NA | 2 Infra | 1 Steroids | ||||||||
1AS | 1 R + C | ||||||||||||
Salvati et al. (2004) [47] | 2 | 62 | Ia | G2 | AC | HSO | RT | 48 | No | Single | Supra | S + RT | AW 9 |
51 | IIIc | G3 | AC | HSO | RT + C | −0.5 | Yes | Single | Supra | S + RT + C | D 34 | ||
Lee et al. (2006) [48] | 1 | 54 | Ib | G3 | AC | HSOL | RT | 108 | No | Mult. | Supra | RT | D 0.25 |
Llaneza-Coto et al. (2006) [49] | 1 | 43 | IIa | G3 | AC | No | No | 0 | No | Single | Supra | S | D 1 |
Orrù et al. (2007) 1999–2005 [50] | 3b | 61 | IIIc | G3 | AC | HSO | C + RT | 17 | No | Mult. | Supra | S + RT | AW 64 |
60 | IIIa | G3 | AC | HSO | No | 6 | No | Single | Supra | RT | D 4 | ||
49 | IIIb | G3 | AC | HSO | RT | 10 | No | Single | Supra | S + RT | AW 16 | ||
Sohaib et al. (2007) [16] | 1/86c (1.16) | NA | NA | NA | AC | HSO | NA | NA | No | Single | NA | NA | NA |
Chura et al. (2007) 1995–2006 [51] | 20/2,063 (0.97%) |
64 (49–78) | 1 Ia | 3 G1 | 11 AC | 14 HSOL | 5 RT | 11.5 (0.6–73.6) | 16 | 8 Single | NA | 7 RT | 2 (0.1–39.2) |
2 Ib | 6 G2 | 3 CS | 2 HSO | 7C | Yes | 12 Mult. | 4 RT + C | ||||||
4 IIIa | 11 G3 | 2 AS | 4 No | 2 RT + C | 4 No | 1 S + RT | |||||||
4 IIIc | 1 SC | 6 No | 1 RT + SRS | ||||||||||
9 IVb | 3 UD | 3S + RT + C | |||||||||||
4 No | |||||||||||||
Ramirez et al. (2008) [52] | 1 | 61 | IIb | G3 | AC | HSO | RT | 12 | No | Mult. | Infra | RT | D 17 |
Monaco et al. (2008) [53] | 6 | 60.4 | 6 NA | 6 NA | 6 NA | 6 NA | 6 NA | 6 NA | 6 NA | 6 NA | 6 NA | 6 SRS | 5 (0.2–25) |
Al-Mujaini et al. (2008) [54] | 1 | 69 | NA | NA | AC | HSO | RT | 84 | Yes | Mult. | Supra | NA | NA |
Forster et al. (2011) [55] | 1 | 58 | I | NA | AC | HSO | RT | 108 | Yes | Mult. | Supra | Olaparibd | D18 |
| |||||||||||||
Total | 115 | 5 (0.1–171) |
AC: adenocarcinoma; Adj: adjuvant; AD: alive with disease; AS: adenosquamous carcinoma; AW: alive and well; BM: brain metastases; C: chemotherapy; CC: clear-cell carcinoma; CS: carcinosarcoma; D: dead of disease; EC: endometrial carcinoma; Hist: histology; Infra: infratentorial (cerebellum); HSO: total abdominal hysterectomy and bilateral salpingo-oophorectomy; HSOL: HSO and lymph node dissection; mon: months; MTS: metastases; Mult: multiple; NA: not available; S: surgery (craniotomy); SC: serous carcinoma; SRS: stereotactic radiosurgery; Supra: supratentorial (cerebrum); UD: undifferentiated, -UK: brain metastases detected at unknown time before the diagnosis of endometrial carcinoma.
a Endometrial carcinoma was the source of brain metastases in 10 (0.7%) of 1,391 patients with brain metastases.
bEndometrial carcinoma was the source of brain metastases in 3 (0.9%) of 348 patients with brain metastases.
c Patients with recurrent endometrial carcinoma following primary surgery.
d Oral poly(ADP)-ribose polymerase (PARP) 1 inhibitor.