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Outcomes of patients with advanced stage ovarian cancer with intestinal metastasis.
- Source :
-
Ginekologia polska [Ginekol Pol] 2017; Vol. 88 (10), pp. 537-542. - Publication Year :
- 2017
-
Abstract
- Objectives: The aim of this study is to evaluate the results of advanced stage (stage IIIB-IVB) ovarian cancer (OC) patients with intestinal metastasis, and to investigate the factors that affect survival.<br />Material and Methods: Patients who underwent cytoreductive surgery (CS) for FIGO stage IIIB-IVB OC with metastasis in the intestinal system, at Tepecik Research and Treatment Hospital between 2008-2014, were analyzed retrospectively. Patients with borderline ovarian tumor; those who had previously undergone radiation therapy and/or hysterectomy and patients having secondary or tertiary cytoreduction were excluded and 49 patients were included and analyzed in this study. Hysterectomy, bilateral salpingo-oopherectomy, pelvic and para-aortic lymph node sampling, resection of bulky lymph nodes and omentectomy were performed. Optimal cytoreduction was accepted as that which left residual tumor ≤ one cm maximum size.<br />Results: The risk factors affecting OS interval were investigated according to Cox' regression analysis. Optimality of the primary CS (P = 0.008 and HR = 5.202) and cancer stage (P = 0.016 and HR = 6.083) were found to be statistically significant factors.<br />Conclusions: Achieving optimal CS is the most important aim for the general surgeon carrying out an intestinal resection procedure. Although resection procedures are superior in providing the desired optimal results when compared to excision surgery, their higher complication rates and subsequent lower quality of life must be taken into consideration when choosing either resection or excision methods; surgical intervention should always be kept to the minimum possible.
- Subjects :
- Carcinoma, Ovarian Epithelial
Cytoreduction Surgical Procedures
Disease-Free Survival
Female
Humans
Intestinal Neoplasms secondary
Intestinal Neoplasms surgery
Middle Aged
Neoplasm Recurrence, Local secondary
Neoplasm Recurrence, Local surgery
Neoplasm Staging
Neoplasms, Glandular and Epithelial secondary
Neoplasms, Glandular and Epithelial surgery
Ovarian Neoplasms pathology
Ovarian Neoplasms secondary
Ovarian Neoplasms surgery
Risk Factors
Turkey
Intestinal Neoplasms mortality
Neoplasm Recurrence, Local mortality
Neoplasms, Glandular and Epithelial mortality
Ovarian Neoplasms mortality
Subjects
Details
- Language :
- English
- ISSN :
- 0017-0011
- Volume :
- 88
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Ginekologia polska
- Publication Type :
- Academic Journal
- Accession number :
- 29192414
- Full Text :
- https://doi.org/10.5603/GP.a2017.0098