Malignant Bowel Obstruction in Patients With Recurrent Ovarian Cancer
Autor: | Nicole P. Sandhu, Elizabeth Tran, Aminah Jatoi, Clayton M. Spiceland |
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Rok vydání: | 2014 |
Předmět: |
Adult
medicine.medical_specialty Adolescent Cancer recurrence Gastroenterology Article Young Adult 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine medicine Recurrent disease Humans In patient Aged Neoplasm Staging Aged 80 and over Ovarian Neoplasms 030219 obstetrics & reproductive medicine business.industry Incidence Incidence (epidemiology) Palliative Care Cancer General Medicine Middle Aged Prognosis medicine.disease Surgery Bowel obstruction Recurrent Ovarian Cancer 030220 oncology & carcinogenesis Female Neoplasm Recurrence Local business Ovarian cancer Intestinal Obstruction |
Zdroj: | American Journal of Hospice and Palliative Medicine®. 33:272-275 |
ISSN: | 1938-2715 1049-9091 |
Popis: | We sought to report incidence, risk factors, and survival related to bowel obstruction in 311 ovarian cancer patients with recurrent disease. A total of 68 (22%) had a documented bowel obstruction during their cancer course, and 49 (16%) developed it after cancer recurrence. Surprisingly, 142 (45%) fit into an “unknown” category (3+ months of data lacking from last contact/death). No risk factors were identified; management included surgery (n = 21), conservative measures (n = 21), and other (n = 7). Documented bowel obstruction was not associated with a statistically significant reduction in survival after cancer recurrence. In conclusion, although bowel obstruction occurs in only a subgroup of patients with ovarian cancer and does not appear to detract from survival after cancer recurrence, limited end-of-life information may be resulting in an underestimation of incidence. |
Databáze: | OpenAIRE |
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