The changing prognosis and treatment in cancer of the ovary

Autor: Munnell, Equinn W.
Zdroj: American Journal of Obstetrics and Gynecology; March 1968, Vol. 100 Issue: 6 p790-805, 16p
Abstrakt: This report of the remits of treatment of 235 case of primary cancer of the ovary seen at the Columbia-Presbyterian Medical Center in New York City from 1952 to 1961 represents a continuation of two previous studies1,2of patients seen with the same disease during 1922-1943 and 1944-1951, respectively. The most recent 5 year survival rate of 40 per cent represents a significant improvement over the 28 per cent survival rate for the two previous studies. The reports analyzes the results and concludes the improvement was not due to ea rlier diagnosis or to a more favorable distribution of cases or to chemotherapy. It concludes that the improvement was due to the more frequent use of postoperative irradiation as well as to more aggressive and more extensive surgery and that the basic concept of surgery in cancer of the ovary should be the maximum surgery possible, when necessary resorting to omentectomy, app endectomy, and resection of localized peritoneal or intestinal metastases in addition to total hysterectomy and bilateral salpingo-oophorectomy.
Databáze: Supplemental Index