Evidence mapPaperPMID 39796739Full record

ReviewCancers2025

Fertility Sparing in Endometrial Cancer: Where Are We Now?

Gabriele Centini, Irene Colombi, Ilaria Ianes, Federica Perelli, Alessandro Ginetti, Alberto Cannoni, Nassir Habib, Ramon Rovira Negre, Francesco Giuseppe Martire, Diego Raimondo and 2 more

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  6. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gabriele CentiniDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-6113-7401
Irene ColombiDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0009-0002-2773-1375
Ilaria IanesDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.
Federica PerelliPediatric Gynecology Unit, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.ORCID 0000-0002-5508-0875
Alessandro GinettiDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0009-0002-2784-7933
Alberto CannoniDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.
Nassir HabibDepartment of Obstetrics and Gynecology, Clinique de l'Yvette, 67 Route de Corbeil, 91160 Longjumeau, France.ORCID 0000-0003-3263-553X
Ramon Rovira NegreDepartment of Gynecologic Oncology, Hospital de la Santa Creu i de Sant Pau, 08025 Barcelona, Spain.ORCID 0000-0003-4136-4153
Francesco Giuseppe MartireDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-0756-535X
Diego RaimondoDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero Univeristaria di Bologna, 40138 Bologna, Italy.ORCID 0000-0002-3235-4378
Lucia LazzeriDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-9513-1980
Errico ZupiDepartment of Molecular and Developmental Medicine, Obstetrics and Gynecological Clinic, University of Siena, 53100 Siena, Italy.ORCID 0000-0003-0735-6301

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endometrial cancer is the most common gynecological neoplasm with an increased incidence in the premenopausal population in recent decades. This raises the problem of managing endometrial cancer in fertile women who have not yet achieved pregnancy. In these women, after careful selection, hysterectomy may be postponed in favor of conservative management if specific requirements are met. The latest evidence is focused on early endometrial carcinoma, endometrioid histotype, Grading 1, with no evidence of myometrial infiltration. Few clinical trials have opened this possibility also for women with an endometrial cancer Grading 2 diagnosis. There are still questions about the best medical therapy, dosage, route, and duration of treatment. Oral progestins or levonorgestrel-releasing intrauterine devices appear to be the options associated with the best outcome in terms of complete response and lower recurrence rates. Other options include the use of GnRH analogues, surgical hysteroscopy, or metformin, in a therapeutic approach that takes into account the characteristics of the patient. The pursuit of pregnancy should start as soon as two consecutive endometrial biopsies are obtained 3 months apart from each other; it is recommended to refer the patients to ART centers to maximize the success rate. After having reached the fulfillment of the reproductive desire, surgical radical treatment is still recommended.

Indexed as

endometrial cancerfertility sparinguterine neoplasms

Identifiers

PMID39796739
PMCPMC11720406

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.