دورية أكاديمية

Can a morphological description of the peritoneal carcinomatosis in advanced ovarian cancer add prognostic information? Analysis of 1686 patients of the tumor bank ovarian cancer

التفاصيل البيبلوغرافية
العنوان: Can a morphological description of the peritoneal carcinomatosis in advanced ovarian cancer add prognostic information? Analysis of 1686 patients of the tumor bank ovarian cancer
المساهمون: Bilir, Esra, Nasser, Sara, Babayeva, Aygun, Braicu, Ioana, Richter, Rolf, Chekerov, Radoslav, Muallem, Mustafa-Zelal, Pietzner, Klaus, Inci, Melissa-Guelhan, Sehouli, Jalid, Graduate School of Health Sciences
المصدر: Frontiers in Oncology
بيانات النشر: Frontiers
International
سنة النشر: 2022
المجموعة: Koç University Suna Kıraç Library’ Digital Collections
مصطلحات موضوعية: Oncology, Ovarian cancer, Peritoneal carcinoma, Peritoneal carcinomatosis index (PCI), Morphology, Survival outcome, Ascites, Intraoperative period
الوصف: Background: peritoneal carcinomatosis in ovarian cancer is frequent and generally associated with higher stage and poorer outcome. The clinical features of peritoneal carcinomatosis are diverse and their relevance for surgical and long-term outcome remains unclear. We conducted this prospective study to describe intraoperatively the different features of peritoneal carcinomatosis(PC) and correlate them with clinicopathological features, progression-free(PFS) and overall survival (OS),. Methods: we performed a systematic analysis of all patients with documented intraoperative PC and a primary diagnosis of epithelial ovarian, tubal, or peritoneal cancer from January 2001 to September 2018. All data were evaluated by using the systematic tumor bank tool. Specific PC features included texture(soft-hard), consistency(coarse-fine or both), wet vs dry(PC with ascites vs. PC without ascites), and localization(diffuse-local). PC characteristics were then evaluated for correlation with age, FIGO-stage, histology, lymph-node involvement, grade, and presence of residual tumor at primary surgery. Moreover, the influence of PC characteristics on OS and PFS was analyzed. Results: a total of 1686 patients with PC and primary epithelial ovarian cancer were included. Majority of the patients were characterized by diffuse PC(73.9%). The majority of peritoneal nodules were fine in texture (55.3%) and hard in consistency (87.4%). Moreover, 27.6% of patients had dry PC. Diffuse PC localization was significantly associated with higher FIGO-stage (p<0.001), high-grade (p=0.003) and serous tumors (p=0.006) as well as residual tumor as compared to local PC (p<0.001). Wet PC also significantly correlated with diffuse localization (p <0.001) and residual tumor as compared to dry PC (p<0.001). Coarse PC was significantly associated with residual tumor as compared to fine PC (p=0.044). All other PC features didn´t correlate with clinicopathological features. As for survival outcomes, diffuse peritoneal localization (p<0.001), ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: pdf
اللغة: English
تدمد: 2234-943X
العلاقة: Publisher version; Koç University Institutional Repository; IR04154; Nasser, Sara, et al. “Can a morphological description of the peritoneal carcinomatosis in Advanced ovarian cancer add prognostic information? analysis of 1686 patients of the Tumor Bank Ovarian Cancer.” Frontiers in Oncology, vol. 12, 2022, https://doi.org/10.3389/fonc.2022.1014073Test.; https://dx.doi.org/10.3389/fonc.2022.1014073Test; WoS; Scopus; PubMed; NA; http://libdigitalcollections.ku.edu.tr/cdm/ref/collection/IR/id/11030Test
DOI: 10.3389/fonc.2022.1014073
الإتاحة: https://doi.org/10.3389/fonc.2022.1014073Test
http://libdigitalcollections.ku.edu.tr/cdm/ref/collection/IR/id/11030Test
رقم الانضمام: edsbas.EA1C0ABD
قاعدة البيانات: BASE
الوصف
تدمد:2234943X
DOI:10.3389/fonc.2022.1014073