Fertility-sparing surgery in young women with mucinous adenocarcinoma of the ovary

Hiroaki Kajiyama, Kiyosumi Shibata, Mika Mizuno, Akihiro Nawa, Kimio Mizuno, Katsuji Matsuzawa, Michiyasu Kawai, Satoyo Hosono, Tetsuro Nagasaka, Fumitaka Kikkawa

研究成果: Article査読

28 被引用数 (Scopus)

抄録

Objectives: The purpose of this study was to clarify the clinical outcome of patients with stage IA mucinous epithelial ovarian cancer (mEOC) treated with fertility-sparing surgery (FSS). Methods: After a central pathological review and search of the medical records from multiple institutions, a total of 148 stage I mEOC patients were retrospectively evaluated in the current study. All mEOC patients were divided into three groups: group A (FSS; age, 40; groups B and C {radical surgery; age, 40 (B); 40< (C)}. Survival analysis was performed among these three groups using Kaplan-Meier methods. Results: The median follow-up time of all mEOC patients was 71.6 (4.8-448.3) months. Among the 41 patients in group A, 27 patients (65.9%) had IA disease, and 14 (34.1%) had IC disease. Five-year overall survival (OS) and disease-free survival (DFS) rates of patients in the groups were as follows: group A, 97.3% (OS)/90.5% (DFS); group B, 94.4% (OS)/94.4% (DFS); group C; 97.3% (OS)/89.3% (DFS). Collectively, there was no significant difference in OS or DFS among these groups even though they were stratified to each substage (IA/IC) (OS, P = 0.180; DFS, P = 0.445, respectively). Furthermore, in multivariate analyses, the surgical procedure was not an independent prognostic factor for either OS or DFS (OS, HR: 0.340, 95% CI: 0.034-3.775, P = 0.352; DFS, HR: 0.660, 95% CI: 0.142-3.070, P = 0.596). Conclusions: Patients with stage I mEOC treated with FSS did not necessarily show a poorer prognosis than those receiving radical surgery.

本文言語English
ページ(範囲)334-338
ページ数5
ジャーナルGynecologic oncology
122
2
DOI
出版ステータスPublished - 08-2011
外部発表はい

All Science Journal Classification (ASJC) codes

  • 腫瘍学
  • 産婦人科学

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