The purpose of this paper is to retrospectively analyze the clinical a
nd pathological data of 118 cases of uterine carcinosarcoma. Prognosti
c factors and management were evaluated. chi(2) and log-rank tests wer
e performed. Surgical stage at time of surgery was the most important
prognostic factor (P < 0.0001); in stage I-II disease depth of myometr
ial invasion and lymphatic/vascular space involvement were significant
ly related to outcome, whereas other factors were not useful. In stage
I-II patients postoperative radiation did not improve 5-year disease-
free survival. Survival curves in patients with advanced disease treat
ed with cisplatin-containing regimens or with doxorubicin (without cis
platin)-containing regimens were overlapping. (C) 1997 Academic Press.