Complete remission after isolation of patients with recurrent ovarian cancer viable again cytoreductive surgery
Recurrent ovarian cancer may reoperation Health, will be right recurrent ovarian cancer surgery and chemotherapy again whether there has been significant controversy. Fourth Militar...
Laparoscopic exploration of two safety accurate ovarian cancer Laparoscopic surgery for ovarian cancer patients with secondary exploration (2 exploration) is a safe and accurate method, this low rate of ...
Denmark Gronloud such report, as paclitaxel plus platinum chemotherapy after complete remission in patients with ovarian cancer, if recurrence of a solitary lesion again cytoreductive surgery may improve survival. (Eur J Surg Oncol 2005,31:67)
In the retrospective study selected criteria: 1 Guide to the residual initial stage operation and confirmed by histological examination of epithelial ovarian cancer; (2) complete remission after first-line treatment; 3. Imaging confirmed pots peritoneal metastasis; (4) Surgical resection of lesions for the purpose.
In 572 cases, 38 cases qualify. 16 patients with completely resected tumors (complete resection rate was 42%), partial resection in 9 cases, 13 cases due to tumor near important organs (five cases) or large tumor surgery and can not complete resection (n = 7) or more of the dense adhesions (1) not accepted by cell eliminate operation.
Completely isolated lesions and surgical resection independently correlated (P = 0.009). Complete resection surgery compared to those of the resection or removal of survival was significantly longer period, the median survival time was 51.8 months and 19.9 months (P = 0.009).
Patients with residual tumor and survival independently correlated (P = 0.02), but if the number of tumor recurrence at the same time multivariate analysis, residual tumor was not significantly correlated with survival.
Researchers believe that it is the right choice of recurrent ovarian cancer patients again cytoreductive surgery to remove the tumor completely, can improve survival. However, the biological behavior of tumors and other factors relevant to the survival also play a very important role. The study not yet come to a decisive conclusion may be less concerned with the size of the sample, the greater the need for research.
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Cytoreductive surgery in the treatment of ovarian cancer Comprehensive Application and prospects Cytoreductive surgery in the treatment of ovarian cancer Comprehensive Application and prospects Foreign Medical Obstetrics and Gynecology...
Advanced ovarian cancer patients quality of life
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