SURGERY AND PROGNOSIS IN STAGE-III EPITHELIAL OVARIAN-CANCER

被引:1
作者
ING, G [1 ]
SEMRAD, N [1 ]
JORDAN, S [1 ]
LATINO, F [1 ]
WATRING, WG [1 ]
机构
[1] SO CALIF PERMANENTE MED GRP,REG GYNECOL ONCOL & PELV SURG SERV,LOS ANGELES,CA 90027
关键词
OVARIAN CANCER; PROGNOSIS; SURGERY;
D O I
10.1046/j.1525-1438.1995.05060416.x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The results of this retrospective ease study indicate that a composite of tumor grade, pattern of spread and substage at the time of opening affects the outcome most in the treatment of stage III epithelial tumors of the ovary. The poorest prognosis was associated with grade 3 histology, a pattern of spread requiring extensive and often difficult surgery for removal and a high substage. The best prognosis was usually associated with grade 1, with either very easily removed, isolated spread or low substage. The extent of tumor defined the degree of primary cytoreduction possible. If the tumor was minimally extensive, primary cytoreduction results were excellent. The same conclusions were reached in the case of secondary cytoreduction at the time of second-look procedure. There was no statistically significant difference (z = 1.481, P = 0.069) in 5-year survival between patients with microscopic only disease (59%) at second-look, and patients with gross disease not cytoreduced (36%).
引用
收藏
页码:416 / 420
页数:5
相关论文
共 16 条
[1]   THE PROGNOSTIC AND THERAPEUTIC VALUE OF 2ND-LOOK LAPAROTOMY IN ADVANCED OVARIAN-CANCER [J].
BERTELSEN, K ;
HANSEN, MK ;
PEDERSEN, PH ;
LARSEN, G ;
NYLAND, M ;
JACOBSEN, M ;
ANDERSEN, JE .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1988, 95 (12) :1231-1236
[2]  
DEMBO AJ, 1990, OBSTET GYNECOL, V75, P263
[3]  
DISAIA PJ, 1989, CLIN GYNECOLOGIC ONC, P354
[4]  
Griffiths C T, 1975, Natl Cancer Inst Monogr, V42, P101
[5]  
GRIFFITHS CT, 1979, CANCER TREAT REP, V63, P235
[6]   CYTOREDUCTIVE SURGERY IN OVARIAN-CARCINOMA - FEASIBILITY AND MORBIDITY [J].
HEINTZ, APM ;
HACKER, NF ;
BEREK, JS ;
ROSE, TP ;
MUNOZ, AK ;
LAGASSE, LD .
OBSTETRICS AND GYNECOLOGY, 1986, 67 (06) :783-788
[7]   INFLUENCE OF SECONDARY CYTOREDUCTION AT THE TIME OF 2ND-LOOK LAPAROTOMY ON THE SURVIVAL OF PATIENTS WITH EPITHELIAL OVARIAN-CARCINOMA [J].
HOSKINS, WJ ;
RUBIN, SC ;
DULANEY, E ;
CHAPMAN, D ;
ALMADRONES, L ;
SAIGO, P ;
MARKMAN, M ;
HAKES, T ;
REICHMAN, B ;
JONES, WB ;
LEWIS, JL .
GYNECOLOGIC ONCOLOGY, 1989, 34 (03) :365-371
[8]  
LUESLEY D, 1988, LANCET, V2, P599
[9]  
MICHEL G, 1989, EUR J SURG ONCOL, V15, P201
[10]   SECONDARY CYTOREDUCTIVE SURGERY FOR RECURRENT EPITHELIAL OVARIAN-CANCER [J].
MORRIS, M ;
GERSHENSON, DM ;
WHARTON, JT ;
COPELAND, LJ ;
EDWARDS, CL ;
STRINGER, CA .
GYNECOLOGIC ONCOLOGY, 1989, 34 (03) :334-338