TY - JOUR
T1 - Long-Term Survival for Platinum-Sensitive Recurrent Ovarian Cancer Patients Treated with Secondary Cytoreductive Surgery Plus Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
AU - Petrillo, Marco
AU - De Iaco, P.
AU - Cianci, S.
AU - Perrone, M.
AU - Costantini, Barbara
AU - Ronsini, C.
AU - Scambia, Giovanni
AU - Fagotti, A.
AU - Fagotti, Anna
PY - 2016
Y1 - 2016
N2 - Background: To analyze the 5- and 7-year survival outcomes for women with platinum-sensitive recurrent epithelial ovarian cancer (REOC) who underwent secondary cytoreductive surgery (SCS) plus platinum-based hyperthermic intraperitoneal chemotherapy (HIPEC). Methods: From the electronic databases of the Department of Obstetrics and Gynecology at the Catholic University of the Sacred Heart of Rome and of the S. Orsola Hospital, University of Bologna, a consecutive series of REOC patients were selected using the following inclusion criteria: primary platinum-free interval (PFI-1) of 6 months or longer, completeness of secondary cytoreduction score (CC) of 1 or lower, minimum follow-up period of 48 months, Eastern Cooperative Group (ECOG) performance status at recurrence of 1 or less, and platinum-based HIPEC. Progression-free survival (PFS) and post-relapse survival (PRS) were calculated as the time between SCS + HIPEC and secondary recurrence or death, respectively. Results: The final study population included 70 women with platinum-sensitive REOC. The median follow-up time was 73 months (range 48–128 months), and the median PFI-1 was 19 months (range 6–100 months). At the time of recurrence, the median peritoneal cancer index was 7 (range 1–21), and a CC score of 0 was achieved for 62 patients (88.6 %). As the HIPEC drug, we used oxaliplatin in 17 cases (38.6 %) and cisplatin in 43 cases (61.4 %). No postoperative deaths were observed, and the complication rate for grades 3 and 4 disease was 8.6 %. The median PFS duration was 27 months (range 5–104 months), and the 5- and 7-year PRS rates were respectively 52.8 and 44.7 %, (median PRS 63 months). Conclusions: The current study demonstrated favorable 5- and 7-year PRS rates for platinum-sensitive REOC patients undergoing SCS + HIPEC, which encourages the inclusion of patients in randomized clinical trials for definitive conclusions to be drawn.
AB - Background: To analyze the 5- and 7-year survival outcomes for women with platinum-sensitive recurrent epithelial ovarian cancer (REOC) who underwent secondary cytoreductive surgery (SCS) plus platinum-based hyperthermic intraperitoneal chemotherapy (HIPEC). Methods: From the electronic databases of the Department of Obstetrics and Gynecology at the Catholic University of the Sacred Heart of Rome and of the S. Orsola Hospital, University of Bologna, a consecutive series of REOC patients were selected using the following inclusion criteria: primary platinum-free interval (PFI-1) of 6 months or longer, completeness of secondary cytoreduction score (CC) of 1 or lower, minimum follow-up period of 48 months, Eastern Cooperative Group (ECOG) performance status at recurrence of 1 or less, and platinum-based HIPEC. Progression-free survival (PFS) and post-relapse survival (PRS) were calculated as the time between SCS + HIPEC and secondary recurrence or death, respectively. Results: The final study population included 70 women with platinum-sensitive REOC. The median follow-up time was 73 months (range 48–128 months), and the median PFI-1 was 19 months (range 6–100 months). At the time of recurrence, the median peritoneal cancer index was 7 (range 1–21), and a CC score of 0 was achieved for 62 patients (88.6 %). As the HIPEC drug, we used oxaliplatin in 17 cases (38.6 %) and cisplatin in 43 cases (61.4 %). No postoperative deaths were observed, and the complication rate for grades 3 and 4 disease was 8.6 %. The median PFS duration was 27 months (range 5–104 months), and the 5- and 7-year PRS rates were respectively 52.8 and 44.7 %, (median PRS 63 months). Conclusions: The current study demonstrated favorable 5- and 7-year PRS rates for platinum-sensitive REOC patients undergoing SCS + HIPEC, which encourages the inclusion of patients in randomized clinical trials for definitive conclusions to be drawn.
KW - Adenocarcinoma, Clear Cell
KW - Adult
KW - Aged
KW - Combined Modality Therapy
KW - Cystadenocarcinoma, Serous
KW - Cytoreduction Surgical Procedures
KW - Endometrial Neoplasms
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Hyperthermia, Induced
KW - Injections, Intraperitoneal
KW - Middle Aged
KW - Neoplasm Grading
KW - Neoplasm Recurrence, Local
KW - Neoplasm Staging
KW - Oncology
KW - Ovarian Neoplasms
KW - Platinum
KW - Prognosis
KW - Retrospective Studies
KW - Surgery
KW - Survival Rate
KW - Adenocarcinoma, Clear Cell
KW - Adult
KW - Aged
KW - Combined Modality Therapy
KW - Cystadenocarcinoma, Serous
KW - Cytoreduction Surgical Procedures
KW - Endometrial Neoplasms
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Hyperthermia, Induced
KW - Injections, Intraperitoneal
KW - Middle Aged
KW - Neoplasm Grading
KW - Neoplasm Recurrence, Local
KW - Neoplasm Staging
KW - Oncology
KW - Ovarian Neoplasms
KW - Platinum
KW - Prognosis
KW - Retrospective Studies
KW - Surgery
KW - Survival Rate
UR - http://hdl.handle.net/10807/102059
UR - http://www.springerlink.com/
U2 - 10.1245/s10434-015-5050-x
DO - 10.1245/s10434-015-5050-x
M3 - Article
SN - 1068-9265
VL - 23
SP - 1660
EP - 1665
JO - Annals of Surgical Oncology
JF - Annals of Surgical Oncology
ER -