Characteristics of 10-year survivors of high-grade serous ovarian carcinoma
Autor: | Anil K. Sood, Douglas A. Levine, Robert L. Coleman, Scott McMeekin, Jenny Lester, Alpa M. Nick, Beth Y. Karlan, Susan K. Lutgendorf, Fanny Dao, Kathleen N. Moore, Jill Tseng, Brooke A. Schlappe |
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Rok vydání: | 2016 |
Předmět: |
0301 basic medicine
Survival Serous carcinoma Genes BRCA2 Genes BRCA1 Pilot Projects 0302 clinical medicine Ovarian carcinoma Obstetrics and Gynaecology 80 and over Survivors Outcome Cancer Aged 80 and over Ovarian Neoplasms Obstetrics and Gynecology Middle Aged Serous fluid medicine.anatomical_structure Treatment Outcome Oncology 030220 oncology & carcinogenesis Cohort Female Adult medicine.medical_specialty Oncology and Carcinogenesis Cystadenocarcinoma and over Neoadjuvant chemotherapy Article Paediatrics and Reproductive Medicine 03 medical and health sciences Long-term survival Rare Diseases Median follow-up Ovarian cancer Clinical Research Internal medicine medicine Humans Stage IIIC Oncology & Carcinogenesis Germ-Line Mutation Aged business.industry Serous medicine.disease BRCA1 BRCA2 United States Surgery Cystadenocarcinoma Serous 030104 developmental biology Good Health and Well Being Genes Neoplasm Grading business Surgical cytoreduction Fallopian tube |
Zdroj: | Gynecologic oncology, vol 141, iss 2 Dao, F; Schlappe, BA; Tseng, J; Lester, J; Nick, AM; Lutgendorf, SK; et al.(2016). Characteristics of 10-year survivors of high-grade serous ovarian carcinoma. GYNECOLOGIC ONCOLOGY, 141(2), 260-263. doi: 10.1016/j.ygyno.2016.03.010. UCLA: Retrieved from: http://www.escholarship.org/uc/item/78n7q01f |
ISSN: | 0090-8258 |
DOI: | 10.1016/j.ygyno.2016.03.010 |
Popis: | ObjectiveHigh-grade serous carcinoma (HGSC) generally presents at an advanced stage with poor long-term (LT) survival. Here we describe clinical features found in women surviving HGSC for ten or more years.MethodsA multi-center research consortium was established between five participating academic centers. Patient selection criteria included high-grade serous ovarian, fallopian tube, or peritoneal carcinoma with at least ten years of follow up. Non-serous, borderline tumors and low-grade serous subtypes were excluded.ResultsThe 203 identified LT ten-year survivors with HGSC were diagnosed at a median age of 57years (range 37–84years). The majority of patients had stage IIIC (72.4%) disease at presentation. Of those who underwent primary cytoreductive surgery, optimal cytoreduction was achieved in 143 (85.6%) patients. After a median follow up of 144months, 88 (46.8%) patients did not develop recurrent disease after initial treatment. Unexpected findings from this survey of LT survivors includes 14% of patients having had suboptimal cytoreduction, 11% of patients having an initial platinum free interval of |
Databáze: | OpenAIRE |
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