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Peritoneal carcinomatosis after risk-reducing surgery in BRCA1/2 mutation carriers
- Source :
- Cancer. 124:952-959
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- BACKGROUND Risk-reducing salpingo-oophorectomy (RRSO) is recommended for BRCA1/2 mutation carriers because of their increased risk of ovarian carcinoma. Despite RRSO, metachronous peritoneal carcinomatosis occasionally is diagnosed. METHODS The literature was searched for BRCA1/2 mutation carriers with peritoneal carcinomatosis after risk-reducing surgery. The authors were asked for additional data. Clinical and histopathological data were descriptively analyzed. Cases were compared with a single-institution control cohort. RESULTS Of 36 cases, 86.1% concerned BRCA1 mutation carriers. The median age of the patients was 52 years (range, 30-71 years) at the time of risk-reducing surgery and 60 years (range, 37-75 years) at the time of diagnosis of peritoneal carcinomatosis. The median interval between the 2 events was 54.5 months (range, 11-292 months). Peritoneal carcinomatosis was mostly high-grade serous carcinoma. Histopathological details of the RRSO specimens were retrieved in 8 cases; 5 (62.5%) were found to have serous tubal intraepithelial carcinoma and 1 had epithelial atypia. Cases were older (P = .025) at the time of risk-reducing surgery and harbored more serous tubal intraepithelial carcinomas (P
- Subjects :
- 0301 basic medicine
Cancer Research
medicine.medical_specialty
Serous carcinoma
business.industry
medicine.medical_treatment
Cancer
Serous Tubal Intraepithelial Carcinoma
medicine.disease
Gastroenterology
03 medical and health sciences
Serous fluid
Peritoneal Neoplasm
030104 developmental biology
0302 clinical medicine
Oncology
030220 oncology & carcinogenesis
Internal medicine
Salpingectomy
Ovarian carcinoma
medicine
business
Cystadenocarcinoma
Subjects
Details
- ISSN :
- 0008543X
- Volume :
- 124
- Database :
- OpenAIRE
- Journal :
- Cancer
- Accession number :
- edsair.doi...........762769771b3130954933e7783f0721b8