Improved 5-year disease-free survival for FIGO stage I epithelial ovarian cancer patients without tumor rupture during surgery

2011 ◽  
Vol 122 (1) ◽  
pp. 83-88 ◽  
Author(s):  
T. Paulsen ◽  
J. Kærn ◽  
C. Tropé
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Cancer Patients ◽  
Disease Free Survival ◽  
Figo Stage ◽  
Stage I ◽  
Tumor Rupture ◽  
Free Survival ◽  
Disease Free

Interval Debulking Surgery After Neodjuvant Chemotherapy Vs Primary Debulking Surgery For Stage Iii Epithelial Ovarian Carcinoma

2020 ◽  
Vol 106 (1_suppl) ◽  
pp. 15-15
Author(s):  
BM Ahmed ◽  
AT Amin ◽  
MK Khallaf ◽  
A Ahmed Refaat ◽  
SA Sileem
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Disease Free Survival ◽  
Figo Stage ◽  
Stage Iii ◽  
Debulking Surgery ◽  
Free Survival ◽  
Primary Debulking Surgery ◽  
Interval Debulking Surgery ◽  
Disease Free

Introduction: Ovarian cancer is the most lethal gynecologic malignancy and is the fifth most common cause of cancer-related death among women. Approach to FIGO stage III epithelial ovarian cancer remains challengeable. This study aims to evaluate the outcome of interval debulking surgery (IDS) vs. primary debulking surgery (PDS) for FIGO stage III epithelial ovarian cancer. Materials and Methods: During a period of six years (January 2014 to December 2019), we analyzed the patients for eligibility criteria, which were: (1) FIGO stage III epithelial ovarian cancer. (2) The age of 18 years or more (3) Patients underwent either PDS or IDS and received chemotherapy at South Egypt Cancer Institute. We divided them into two groups: (1) Those received three cycles of neoadjuvant chemotherapy and then underwent IDS plus three additional cycles of adjuvant chemotherapy and (2) Those who have PDS followed by six cycles of chemotherapy. Results: This study includes 380 eligible patients. The first group included 226 patients (59.47%) underwent PDS then 6 cycles of chemotherapy, while the group of IDS included 154 patients (40.53%). The treatment modality was not significant for overall survival (OS); however disease-free survival (DFS) was significantly reduced after IDS when compared to PDS (median DFS: 33 months; 95% CI 30.23-35.77 vs. 45 months; 95% CI 41.25-48.75 respectively; p= .000). Moreover, in subgroup analysis, OS and DFS were significantly dropped after IDS in elderly patients, patients with bad performance status, sub-optimal cytoreduction as well as high grade and undifferentiated tumors when compared to those who underwent PDS. Conclusion: Although treatment modality may not impact overall survival (OS), however, PDS results in a better disease-free survival than IDS. Moreover, IDS results in a significant drop in OS and DFS in special patients subgroups when compared to PDS. Therefore patients selection should be considered.

P53 and Bcl-2 as prognostic predictors in epithelial ovarian cancer

2002 ◽  
Vol 12 (6) ◽  
pp. 720-727 ◽  
Author(s):  
R. A. M. Sagarra ◽  
L. A. L. A. Andrade ◽  
E. Z. Martinez ◽  
G. A. Pinto ◽  
K. J. Syrjänen ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Multivariate Analysis ◽  
Epithelial Ovarian Cancer ◽  
Residual Disease ◽  
Univariate Analysis ◽  
Disease Free Survival ◽  
Figo Stage ◽  
Free Survival ◽  
Multivariate Survival ◽  
Disease Free

The study was designed to evaluate the prognostic importance of clinical and pathologic variables with p53 and Bcl-2 in epithelial ovarian cancer using multivariate analysis. Tumor tissues from 90 patients were analyzed immunohistochemically for p53 and Bcl-2 expression. Hazard ratios were calculated in univariate and multivariate survival analyses. Forty-two (47%) were considered positive for p53 expression and 18 (20%) were positive for Bcl-2. Positive expression for p53 was less frequent in patients in FIGO stage I (22%). Positive staining for Bcl-2 correlated significantly with the histologic type (P < 0.01). No direct correlations could be demonstrated between p53 and Bcl-2 expression and age or histologic grade. In univariate analysis, p53 and Bcl-2 expression were not significantly correlated with overall survival, disease-free survival, or progression time. FIGO stage III and IV and residual disease ≥2 cm3 after first surgery were significantly correlated with poor outcome in univariate analysis. FIGO stage retained their independent prognostic value in multivariate analysis. Neither p53 nor Bcl-2 had any significant influence on outcome in multivariate survival analysis. FIGO stage proved to be the only significant independent prognostic factor in epithelial ovarian cancer, although residual disease remains correlated with disease-free survival.

scholarly journals Erratum to: Anesthetic Selection and Disease-Free Survival Following Optimal Primary Cytoreductive Surgery for Stage III Epithelial Ovarian Cancer

2015 ◽  
Vol 22 (S3) ◽  
pp. 1611-1611
Author(s):  
Kevin M. Elias ◽  
Stephanie Kang ◽  
Xiaoxia Liu ◽  
Neil S. Horowitz ◽  
Ross S. Berkowitz ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Cytoreductive Surgery ◽  
Disease Free Survival ◽  
Stage Iii ◽  
Free Survival ◽  
Disease Free

scholarly journals Effect of grade on disease-free survival and overall survival in FIGO stage I adenocarcinoma of the endometrium

2000 ◽  
Vol 88 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Jean F. Delaloye ◽  
Sandro Pampallona ◽  
Philippe A. Coucke ◽  
Alexandre Megalo ◽  
Pierre De Grandi
Keyword(s):  
Overall Survival ◽  
Disease Free Survival ◽  
Figo Stage ◽  
Stage I ◽  
Free Survival ◽  
Disease Free

scholarly journals Expression of hypoxia-inducible factor 1α gene affects the outcome in patients with ovarian cancer

2008 ◽  
Vol 18 (3) ◽  
pp. 499-505 ◽  
Author(s):  
R. SHIMOGAI ◽  
J. KIGAWA ◽  
H. ITAMOCHI ◽  
T. IBA ◽  
Y. KANAMORI ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Epithelial Ovarian Cancer ◽  
Hypoxia Inducible Factor ◽  
Disease Free Survival ◽  
High Expression ◽  
Vegf Expression ◽  
Free Survival ◽  
Hypoxia Inducible Factor 1Α ◽  
Disease Free ◽  
Low Expression

We conducted study to determine whether and how the expression of the hypoxia-inducible factor 1α (HIF-1α) gene relates to outcome in patients with epithelial ovarian cancer. A total of 66 patients with epithelial ovarian cancer, who underwent primary surgery followed by platinum-based chemotherapy, were entered into this study. We confirmed the expression of HIF-1α and the vascular endothelial growth factor (VEGF) by immunohistochemistry. To determine the quantity of HIF-1α and VEGF expression, messenger RNA of each gene was measured by real-time reverse transcription–polymerase chain reaction. The cutoff values were determined by the receiver-operating characteristic curve according to survival. The protein expressions of HIF-1α and VEGF were strongly observed in the cancer cells. The cutoff value of HIF-1α and VEGF gene expression was 6.0 and 3.0, respectively. The expression of HIF-1α did not relate to clinical stage, but tumor with low VEGF expression was observed more frequently in stage I patients. The response rate to chemotherapy did not differ between high and low expression of both genes. The overall survival for patients with high expression of HIF-1α was significantly lower, but disease-free survival did not differ between high and low expression of HIF-1α, whereas both overall and disease-free survival for patients with high expression of VEGF were significantly lower. Multivariate analysis revealed that FIGO stage and HIF-1α expression were independent prognostic factors but that VEGF was not. The present study suggested that the expression level of HIF-1α could be an independent prognostic factor in epithelial ovarian cancer

Impact of hysteroscopy on disease-free survival in clinically stage I endometrial cancer patients

2000 ◽  
Vol 10 (4) ◽  
pp. 275-279 ◽  
Author(s):  
A. Obermair ◽  
M. Geramou ◽  
F. Gucer ◽  
U. Denison ◽  
A. H. Graf ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Cancer Patients ◽  
Disease Free Survival ◽  
Stage I ◽  
Free Survival ◽  
Disease Free
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