Poelcher, Martin and Mahner, Sven and Ortmann, Olaf and Hilfrich, Joern and Diedrich, Klaus and Breitbach, Georg-Peter and Hoess, Cornelia and Leutner, Claudia and Braun, Michael and Moebus, Volker and Karbe, Ina and Stimmler, Patrick and Rudlowski, Christian and Schwarz, Joerg and Kuhn, Walther (2009) Neoadjuvant chemotherapy with carboplatin and docetaxel in advanced ovarian cancer - a prospective multicenter phase II trial (PRIMOVAR). ONCOLOGY REPORTS, 22 (3). pp. 605-613. ISSN 1021-335X,
Full text not available from this repository. (Request a copy)Abstract
Early response criteria and Surgical outcome were evaluated in patients with advanced epithelial ovarian cancer treated with neoadjuvant chemotherapy. Patients with FIGO stage IIIC or IV ovarian cancer and an ascites volume of >= 500 ml were randomly assigned to receive preoperatively 3 (A1) or 2 (A2) of 6 cycles of carboplatin and docetaxel intravenously. Response was monitored by measuring target lesions, ascites volumes and serum CA 125 levels. The primary outcome measure was the preoperative reduction of ascites volume. Secondary outcome measures were the evaluation of residual tumor and perioperative morbidity and mortality. Eighty-three patients underwent cytoreductive surgery, 40 after 3 cycles and 43 patients after 2 cycles of neoadjuvant chemotherapy. 'Optimal debulking' (51 cm) was achieved in 30 (A1) and 32 patients (A2). Eight (A1) and 6 patients (A2) had a persistent ascites volume :500 ml. A decrease of the CA 125 level from baseline of less than 50% was observed in 7 (A1) and 9 patients (A2). Computed tomography scan results showed progressive disease in 6 patients (3 A1; 3 A2). Any amount of residual disease after cytoreductive surgery, persistent ascites, and a less pronounced decrease of CA 125 were associated with poor progress ion-free survival rates. In conclusion, ascites volume reduction and CA 125 decline appear to be appropriate response criteria. A treatment schedule with two preoperative cycles is a reasonable option for neoad-juvant chemotherapy in advanced ovarian cancer. High surgical standards are mandatory, even after neoadjuvant chemotherapy.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | EPITHELIAL OVARIAN; SURGICAL CYTOREDUCTION; IMPROVED SURVIVAL; CARCINOMA; SURGERY; DISEASE; METAANALYSIS; SENSITIVITY; PREDICTORS; PACLITAXEL; ovarian cancer; neoadjuvant chemotherapy; surgery; docetaxel; CA 125; ascites |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Sep 2020 06:49 |
| Last Modified: | 09 Sep 2020 06:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/28525 |
Actions (login required)
 |
View Item |
