Survival in women with ovarian cancer before and after the introduction of adjuvant paclitaxel; a 25-year, single institution review

Autor: R, Shireen, D, Brennan, G, Flannelly, D, Fennelly, P, Lenehan, M, Foley
Rok vydání: 2012
Předmět:
Zdroj: Irish medical journal. 105(2)
ISSN: 0332-3102
Popis: Adjuvant chemotherapy regime for ovarian cancer patients remains to be a contentious issue. The aim of this study was to compare the overall and progression-free survival of women with ovarian cancer before and after introduction of paclitaxel in our unit in 1992. A sample of 112 women who received adjuvant therapy following surgery for ovarian cancer was collected, 68 (61%) received platinum+alkylating agent before 1992 and later 44 (39%) received platinum+paclitaxel. Five-year survival was same in both treatment groups when there was no macroscopic disease after surgery (78% versus 70%) and when residual disease was2 cm (50% versus 40%). Survival was greater in women with residual disease2 cm in the platinum+paclitaxel group (50% versus 24%), (p = 0.04). However, progression-free survival was similar in both groups irrespective of stage or residual volume of disease. Therefore consideration to selective use of paclitaxel could reduce patient morbidity and costs significantly.
Databáze: OpenAIRE