Long-term survival of young women receiving fertility-sparing surgery for ovarian cancer in comparison with those undergoing radical surgery.

Long-term survival of young women receiving fertility-sparing surgery for ovarian cancer in comparison with those undergoing radical surgery.
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与接受根治性手术的年轻女性接受卵巢癌的长期生存。

DOI:
10.1038/bjc.2011.394
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发表时间:
2011-10-25
影响因子:
8.8
通讯作者:
Kikkawa, F.
Kikkawa, F.
中科院分区:
医学1区
文献类型:
--
作者:
Kajiyama, H.;Shibata, K.;Mizuno, M.;Umezu, T.;Suzuki, S.;Nawa, A.;Kawai, M.;Nagasaka, T.;Kikkawa, F.

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比较接受保留生育手术 (FSS) 和接受根治性手术 (RS) 的 I 期上皮性卵巢癌 (EOC) 患者的临床结果。经过中央病理审查和多机构病历检索,共对572例患者进行了回顾性评估。所有患者被分为三组:A组{FSS(n=74);年龄,⩽40} B 组和 C 组 [RS;年龄,40⩾{(B),n=52} 40<{(C),n=446}]。各组患者的五年总生存率(OS)和无病生存率(DFS)如下:A组90.8%(OS)/87.9%(DFS); B组,88.3%(OS)/84.4%(DFS); C 组,分别为 90.6%(OS)/85.3%(DFS)(OS,P=0.802;DFS,P=0.765)。此外,IA或IC期三组的OS和DFS没有显着差异(分别为OS(IA),P=0.387;DFS(IA),P=0.314;OS(IC),P=0.993;DFS(IC),P=0.990)。此外,FSS 组中 1-2 级或 3 级肿瘤患者的预后并不比 RS 组中的患者更差。与接受 RS 治疗的患者相比,接受 FSS 治疗的 I 期 EOC 患者预后良好。
To compare the clinical outcome of patients with stage I epithelial ovarian cancer (EOC) who received with fertility-sparing surgery (FSS) with those who underwent radical surgery (RS). After a central pathological review and search of the medical records from multiple institutions, a total of 572 patients were retrospectively evaluated. All patients were divided into three groups: group A {FSS (n=74); age, ⩽40} groups B and C [RS; age, 40⩾{(B), n=52} 40<{(C), n=446}]. Five-year overall survival (OS) and disease-free survival (DFS) rates of patients in the groups were as follows: group A, 90.8% (OS)/87.9% (DFS); group B, 88.3% (OS)/84.4% (DFS); group C, 90.6% (OS)/85.3% (DFS), respectively (OS, P=0.802; DFS, P=0.765). Additionally, there was no significant difference in OS and DFS among the three groups stratified to stage IA or IC (OS (IA), P=0.387; DFS (IA), P=0.314; OS (IC), P=0.993; DFS (IC), P=0.990, respectively). Furthermore, patients with a grade 1–2 or 3 tumours in the FSS group did not have a poorer prognosis than those in the RS group. Stage I EOC patients treated with FSS showed an acceptable prognosis compared with those who underwent RS.
DOI: 10.1016/j.ejso.2010.01.005
发表时间: 2010-04-01
期刊: EJSO
影响因子: 3.8
作者:
Kajiyama, H.;Shibata, K.;Kikkawa, F.
通讯作者: Kikkawa, F.
DOI: 10.1006/gyno.2002.6805
发表时间: 2002-10-01
影响因子: 4.7
作者:
Schilder, JM;Thompson, AM;van Nagell, J
通讯作者: van Nagell, J
DOI: 10.1016/j.ygyno.2008.04.001
发表时间: 2008-12-01
影响因子: 4.7
作者:
Kajiyama, Hiroaki;Shibata, Kiyosumi;Kikkawa, Fumitaka
通讯作者: Kikkawa, Fumitaka
DOI: 10.1046/j.1525-1438.1993.03020072.x
发表时间: 1993-03-01
影响因子: 4.8
作者:
BERTELSEN, K;HOLUND, B;ANDERSEN, E
通讯作者: ANDERSEN, E
DOI: 10.1111/j.1471-0528.1985.tb03056.x
发表时间: 1985-01-01
期刊: BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
影响因子: --
作者:
SMEDLEY, H;SIKORA, K
通讯作者: SIKORA, K