Prognostic factors of mesenchymal and mixed tumors of uterus

OBJECTIVE: Analysis of clinical and histopathological prognostic factors with emphasis on carcinosarcomas, leiomyosarcomas and endometrial sarcomas of uterus. SUBJECT: Review. SETTING: Department of Obstetrics and Gynaecology, Medical Faculty Hradec Kralove, Charles University, Prague; The Fingerland Department of Pathology, Medical Faculty Hradec Kralove, Charles University, Prague; Department of Clinical Oncology, Medical Faculty Hradec Kralove, Charles University, Prague; Department of Biological and Medical Sciences, Faculty of Pharmacy, Hradec Kralove; Charles University, Prague. SUBJECT AND METHOD: Discussion about our experience and current evidence. CONCLUSION: Mesenchymal and mixed tumors of uterus are characterized by several prognostic factors as well. Except clinical prognostic variables, histopathological and molecular biological factors may play a role. The most important prognostic significance carry stage of disease, age and performance status of patient and sufficient therapy, especially surgery. In particular tumors some other prognostic factors are recognized. Except cases in really early stage of disease there is usually short interval between end of primary therapy and tumor recurrence. With the exception of endometrial stromal sarcoma, prognosis of these tumors remains very poor.