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Peritoneal carcinomatosis index as a predictor of diaphragmatic involvement in stage III and IV ovarian cancer
dc.contributor.author | Llueca, Antoni | |
dc.contributor.author | Serra Rubert, Anna | |
dc.contributor.author | Herraiz, José Luis | |
dc.contributor.author | Rivadulla, Isabel | |
dc.contributor.author | Gómez-Quiles, Luis | |
dc.contributor.author | Gilabert-Estellés, Juan | |
dc.contributor.author | Escrig-Sos, Javier | |
dc.date.accessioned | 2018-06-18T11:23:39Z | |
dc.date.available | 2018-06-18T11:23:39Z | |
dc.date.issued | 2018 | |
dc.identifier.issn | 1178-6930 | |
dc.identifier.uri | http://hdl.handle.net/10234/175249 | |
dc.description.abstract | Objective: To analyze the surgical outcomes and diaphragmatic involvement in stage III and IV ovarian cancer. Patients and methods: All patients with stage III–IV ovarian cancer between January 2013 and January 2016 were included. The outcomes of interest reviewed were as follows: surgical (complications, mortality), peritoneal carcinomatosis index (PCI), rate of complete resection, and disease-free interval and survival. Results: Fifty-seven patients were included, 38 (67%) with diaphragmatic involvement; in 10 cases (18%), diaphragmatic resection was required. Optimal cytoreduction (OCR) was obtained in 49 cases (86%). The PCI was .10 in 31 cases (54%). Respiratory complications occurred in 10 cases (18%) and mortality in 3 (5%). Disease-free survival rate in 3 years was 53%, being 87% in cases without diaphragmatic involvement. The overall survival rate in 3 years is 46%, 83% in the cases without diaphragmatic involvement and 27% in cases with affectation (p,0.05). In cases of OCR, 3 year survival rate was 65%. In the multivariate analysis for the overall survival of cases with OCR, the only independent prognostic factor found was the operative PCI. A strong correlation was found between the total PCI and the diaphragmatic PCI (p,0.001). With a PCI .10, virtually all cases will present diaphragmatic involvement (p,0.05). Conclusion: The tumor burden is different in stages III and IV of advanced ovarian cancer and the PCI is an effective method to quantify it. The PCI constitutes an independent prognostic factor for the advanced stages of ovarian cancer. A PCI .10 constitutes a useful prognostic factor of the affectation and forces the surgeon to thoroughly review both diaphragms. | ca_CA |
dc.format.extent | 7 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Dove Medical Press | ca_CA |
dc.relation.isPartOf | OncoTargets and Therapy 2018:11 | ca_CA |
dc.rights | © 2018 Llueca et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v4.0) License (http://creativecommons.org/licenses/by-nc/4.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php) | ca_CA |
dc.rights | Atribución-NoComercial 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject | advanced ovarian cancer | ca_CA |
dc.subject | peritoneal cancer index | ca_CA |
dc.subject | diaphragmatic involvement | ca_CA |
dc.subject | upper abdominal surgery | ca_CA |
dc.subject | carcinomatosis | ca_CA |
dc.title | Peritoneal carcinomatosis index as a predictor of diaphragmatic involvement in stage III and IV ovarian cancer | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | http://dx.doi.org/10.2147/OTT.S147559 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.relation.publisherVersion | https://www.dovepress.com/peritoneal-carcinomatosis-index-as-a-predictor-of-diaphragmatic-involv-peer-reviewed-article-OTT | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
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Excepto si se señala otra cosa, la licencia del ítem se describe como: © 2018 Llueca et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php
and incorporate the Creative Commons Attribution – Non Commercial (unported, v4.0) License (http://creativecommons.org/licenses/by-nc/4.0/). By accessing the work you
hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission
for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)