The surgical and clinicopathological characteristics of primary mucinous ovarian cancer: a single institution 30-year retrospective analysis

被引:0
作者
Aytekin, Okan [1 ]
Yuksel, Dilek [2 ]
Oktar, Okan [2 ]
Cakir, Caner [2 ]
Comert, Guensu Kimyon [2 ]
Korkmaz, Vakkas [2 ]
Engin-Ustun, Yaprak [3 ]
Turan, Taner [2 ]
机构
[1] Univ Hlth Sci Turkey, Ankara City Hosp, Clin Gynecol Oncol, Ankara, Turkiye
[2] Univ Hlth Sci Turkey, Ankara Etlik Zubeyde Hanim Womens Hlth Training &, Clin Gynecol Oncol, Ankara, Turkiye
[3] Univ Hlth Sci Turkey, Ankara Etlik Zubeyde Hanim Womens Hlth & Res Ctr, Clin Obstet & Gynecol, Ankara, Turkiye
关键词
Mucinous ovarian carcinoma; platinum-based chemotherapy; stage; survival; treatment response; ADVANCED-STAGE; SURVIVAL; CARCINOMA; CHEMOTHERAPY; RARE;
D O I
10.4274/jtgga.galenos.2023.2022-8-1
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To evaluate the clinicopathological characteristics of primary mucinous ovarian carcinoma (MOC) and define oncologic outcomes. Material and Methods: This retrospective study reviewed patients diagnosed with primary MOC at a single institution and underwent primary treatment between 1990 and 2019. The clinicopathological factors affecting oncological outcomes and treatment response were evaluated. The Kaplan-Meier method was used to evaluate survival outcomes. Survival curves were compared using the log-rank test. Results: The cohort's (n=92) median (range) age was 48 (15-82) years. Seventy-five (81.5%) patients were in the International Federation of Gynecology and Obstetrics stage I-II. Forty patients received platinum-based adjuvant chemotherapy. The 5-year progression-free survival was 98% in stage I-II and 17% for stage III-IV (p<0.001). In multivariate analysis, the only independent risk factor for disease failure was stage (hazard ratio: 6.838, 95% confidence interval: 1,358-34,415; p=0.020). Conclusion: Advanced stage was an independent poor prognostic factor for recurrence in patient with MOC.
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收藏
页码:252 / 260
页数:9
相关论文
共 27 条
[1]   NCCN Guidelines Insights: Ovarian Cancer, Version 1.2019 [J].
Armstrong, Deborah K. ;
Alvarez, Ronald D. ;
Bakkum-Gamez, Jamie N. ;
Barroilhet, Lisa ;
Behbakht, Kian ;
Berchuck, Andrew ;
Berek, Jonathan S. ;
Chen, Lee-may ;
Cristea, Mihaela ;
DeRosa, Marie ;
ElNaggar, Adam C. ;
Gershenson, David M. ;
Gray, Heidi J. ;
Hakam, Ardeshir ;
Jain, Angela ;
Leath, Charles A., III ;
Liu, Joyce ;
Mahdi, Haider ;
Matei, Daniela ;
McHale, Michael ;
McLean, Karen ;
O'Malley, David M. ;
Penson, Richard T. ;
Percac-Lima, Sanja ;
Ratner, Elena ;
Remmenga, Steven W. ;
Sabbatini, Paul ;
Werner, Theresa L. ;
Zsiros, Emese ;
Burns, Jennifer L. ;
Engh, Anita M. .
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2019, 17 (08) :896-+
[2]   Comparison of stage III mucinous and serous ovarian cancer: a case-control study [J].
Cuylan, Zeliha Firat ;
Karabuk, Emine ;
Oz, Murat ;
Turan, Ahmet Taner ;
Meydanli, Mehmet M. ;
Taskin, Salih ;
Sari, Mustafa Erkan ;
Sahin, Hanifi ;
Ulukent, Suat C. ;
Akbayir, Ozgur ;
Gungorduk, Kemal ;
Gungor, Tayfun ;
Kose, Mehmet F. ;
Ayhan, Ali .
JOURNAL OF OVARIAN RESEARCH, 2018, 11
[3]   Role of Surgical Outcome as Prognostic Factor in Advanced Epithelial Ovarian Cancer: A Combined Exploratory Analysis of 3 Prospectively Randomized Phase 3 Multicenter Trials By the Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom (AGO-OVAR) and the Groupe d'Investigateurs Nationaux Pour les Etudes des Cancers de l'Ovaire (GINECO) [J].
du Bois, Andreas ;
Reuss, Alexander ;
Pujade-Lauraine, Eric ;
Harter, Philipp ;
Ray-Coquard, Isabelle ;
Pfisterer, Jacobus .
CANCER, 2009, 115 (06) :1234-1244
[4]   New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1) [J].
Eisenhauer, E. A. ;
Therasse, P. ;
Bogaerts, J. ;
Schwartz, L. H. ;
Sargent, D. ;
Ford, R. ;
Dancey, J. ;
Arbuck, S. ;
Gwyther, S. ;
Mooney, M. ;
Rubinstein, L. ;
Shankar, L. ;
Dodd, L. ;
Kaplan, R. ;
Lacombe, D. ;
Verweij, J. .
EUROPEAN JOURNAL OF CANCER, 2009, 45 (02) :228-247
[5]   The effect of maximal surgical cytoreduction on sensitivity to platinum-taxane chemotherapy and subsequent survival in patients with advanced ovarian cancer [J].
Eisenhauer, Eric L. ;
Abu-Rustum, Nadeem R. ;
Sonoda, Yukio ;
Aghajanian, Carol ;
Barakat, Richard R. ;
Chi, Dennis S. .
GYNECOLOGIC ONCOLOGY, 2008, 108 (02) :276-281
[6]   An international, phase III randomized trial in patients with mucinous epithelial ovarian cancer (mEOC/GOG 0241) with long-term follow-up: and experience of conducting a clinical trial in a rare gynecological tumor [J].
Gore, Martin ;
Hackshaw, Allan ;
Brady, William E. ;
Penson, Richard T. ;
Zaino, Richard ;
McCluggage, W. Glenn ;
Ganesan, Raji ;
Wilkinson, Nafisa ;
Perren, Timothy ;
Montes, Ana ;
Summers, Jeffrey ;
Lord, Rosemary ;
Dark, Graham ;
Rustin, Gordon ;
Mackean, Melanie ;
Reed, Nicholas ;
Kehoe, Sean ;
Frumovitz, Michael ;
Christensen, Helen ;
Feeney, Amanda ;
Ledermann, Jonathan ;
Gershenson, David M. .
GYNECOLOGIC ONCOLOGY, 2019, 153 (03) :541-548
[7]   Mucinous Ovarian Carcinoma [J].
Hackshaw, Allan ;
Gershenson, David ;
Ledermann, Jonathan .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 381 (01)
[8]   Mucinous epithelial ovarian cancer: A separate entity requiring specific treatment [J].
Hess, V ;
A'Hern, R ;
Nasiri, N ;
King, DM ;
Blake, PR ;
Barton, DPJ ;
Shepherd, JH ;
Ind, T ;
Bridges, J ;
Harrington, K ;
Kaye, SB ;
Gore, ME .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (06) :1040-1044
[9]   Clinicopathological Determinants of Recurrence Risk and Survival in Mucinous Ovarian Carcinoma [J].
Hollis, Robert L. ;
Stillie, Lorna J. ;
Hopkins, Samantha ;
Bartos, Clare ;
Churchman, Michael ;
Rye, Tzyvia ;
Nussey, Fiona ;
Fegan, Scott ;
Nirsimloo, Rachel ;
Inman, Gareth J. ;
Herrington, C. Simon ;
Gourley, Charlie .
CANCERS, 2021, 13 (22)
[10]   Comparison of advanced stage mucinous epithelial ovarian cancer and serous epithelial ovarian cancer with regard to chemosensitivity and survival outcome: a matched case-control study [J].
Karabuk, Emine ;
Kose, M. Faruk ;
Hizli, Deniz ;
Taskin, Salih ;
Karadag, Burak ;
Turan, Taner ;
Boran, Nurettin ;
Ozfuttu, Ahmet ;
Ortac, U. Firat .
JOURNAL OF GYNECOLOGIC ONCOLOGY, 2013, 24 (02) :160-166