Ten-year follow-up of ovarian cancer patients after second-look laparotomy with negative findings Journal Article
| Authors: | Rubin, S. C.; Randall, T. C.; Armstrong, K. A.; Chi, D. S.; Hoskins, W. J. |
| Article Title: | Ten-year follow-up of ovarian cancer patients after second-look laparotomy with negative findings |
| Abstract: | Objective: To determine long-term survival and predictors of recurrence in patients with platinum-treated ovarian cancer who were followed for 10 years after second-look laparotomy with negative findings. Methods: Records were reviewed of 91 consecutive patients with negative findings on second-look laparotomy after platinum-based chemotherapy between January 1978 and January 1987. Statistical analysis used Kaplan-Meier survival curves, Cox proportional hazards, and multiple logistic regression. Results: Mean age of patients was 57 (range 30-79) years. Distribution by stage and grade was as follows: stage I, ten; II,18; III, 57; IV,six; grade 1, 18; 2, 28; 3, 45. Forty-seven of 91 women had optimal initial cytoreduction. Recurrence-free survival rates for all subjects were 75% at 2 years, 55% at 5 years, and 52% at 10 years. For women with stage I disease, the recurrence-free survival rate was 90% at 2, 5, and 10 years. For women with stage II disease, recurrence-free survival rates were 78, 72, and 66% at 2, 5, and 10 years, respectively. Patients with stage III or nr disease had recurrence-free survival rates of 72, 44, and 40% at 2, 5,and 10 years, respectively. Risk of recurrent disease was related to tumor stage (relative risk [RR] 2.02; 95% confidence interval [CI] 1.2 3.3; P = .005), grade (RR 2.00; 95% CI 1.3, 3.2; P = .004), and presence of a residual tumor of more than 2 cm at the end of initial surgery (RR 3.19; 95% CI 1.2, 8.5; P = .02). Conclusion: Ovarian cancer patients face an appreciable risk of recurrence in the first 5 years after second-look laparotomy with negative findings after platinum-based chemotherapy, but those who remain disease free at 5 years have excellent long-term survival rates. Tumor stage, grade, and presence of a residual tumor of more than 2 cm after initial surgery are significant predictors of recurrence. (C) 1999 by The American College of Obstetricians and Gynecologists. |
| Keywords: | cisplatin; recurrence; cyclophosphamide; 2nd-look laparotomy |
| Journal Title: | Obstetrics and Gynecology |
| Volume: | 93 |
| Issue: | 1 |
| ISSN: | 0029-7844 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 1999-01-01 |
| Start Page: | 21 |
| End Page: | 24 |
| Language: | English |
| ACCESSION: | WOS:000077885200005 |
| DOI: | 10.1016/s0029-7844(98)00334-2 |
| PROVIDER: | wos |
| PUBMED: | 9916949 |
| Notes: | Article -- Source: Wos |
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