Beta
342461

Insights into the Clinico-Epidemiological Aspects of Non-Epithelial Ovarian Tumor Emphasizing Diagnosis and Tailored Surgical Approach; a Single Institutional Retrospective Study

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Epidemiology

Abstract

Background: Ovarian cancers account for approximately 27% of all female tumors, with non-epithelial ovarian cell carcinoma being rare at around 10% of overall ovarian cancer cases. The aim of this study is to recognize the prognostic factors Reporting survival outcome in the form of OAS, DFS, and PFS.

Aim and Objective(s):Defining the lines of treatment have been uses and recognize the prognostic factors Reporting survival outcome OAS, PFS, and DFS.

Patients and Methods: This study included 56 patients, were recruited in the period between January 2005 and December 2020 with the following criteria: Proven non-epithelial ovarian carcinoma, all stages, age greater than 18 years.

Results: all 56 patients (100%) underwent surgery: 96.4% had upfront early debulking, and 3.6% had interval debulking post-neoadjuvant chemotherapy. Fertility Sparing Surgery was performed in 50%, optimal debulking in 41.4%. Surgical debulking left no residual disease in 78.6%; 12 patients had residual disease.Chemotherapy was administered to 55.4% of patients, with 67.7% receiving the BEP regimen and 9 patients receiving other regimens. Pathological responses in 12 patients with residual disease 75% achieved complete response. The median (OAS) was 66 months. The 5-year OAS rate was 94.6% for 53 patients. Median (PFS) was 66 months, with a 5-year PFS rate of 85.7% for 48 patients. Among 44 completely treated patients, (DFS) was 83 months, with a 5-year DFS rate of 93.2% for 41 patients.

Conclusion: by univariate analysis; performance status, stage, type of surgery, and tumor residual after debulking surgery were significant prognostic factors for survival.

DOI

10.21608/jcbr.2024.265911.1337

Keywords

ovarian cancer, Malignant ovarian germ cell, Sex cord-stromal tumors, Epidemiology, prognosis

Authors

First Name

Ahmad

Last Name

Abdelrahman

MiddleName

A

Affiliation

Clinical oncology department, Faculty of medicine ,Mansoura University, Egypt

Email

hadyonc@mans.edu.eg

City

-

Orcid

0000-0002-0864-1369

First Name

Asmaa

Last Name

Eldmaty

MiddleName

M.

Affiliation

Clinical oncology department, faculty of medicine, Mansoura University, Egypt

Email

doc.asmaaeldmaty@gmail.com

City

-

Orcid

0000-0001-5869-8403

First Name

Ahmed

Last Name

Elshahat

MiddleName

-

Affiliation

Clinical oncology department, Faculty of medicine , Mansoura University, Egypt

Email

drahmedelshahat32@gmail.com

City

-

Orcid

-

First Name

Shih

Last Name

Min Hsia

MiddleName

-

Affiliation

TMU Research Center for digestive medicine, Taipei Medical University, Taipei, Taiwan

Email

bryanhsia@tmu.edu.tw

City

-

Orcid

0000-0003-2888-2618

First Name

Rasha

Last Name

Abdellatif

MiddleName

Mohamed

Affiliation

Clinical oncology department, Faculty of medicine, Mansoura University, Egypt

Email

rosha20075@gmail.com

City

-

Orcid

0000-0002-9267-7654

Volume

8

Article Issue

1

Related Issue

46253

Issue Date

2024-03-01

Receive Date

2024-02-01

Publish Date

2024-03-01

Page Start

28

Page End

40

Print ISSN

3009-6391

Online ISSN

3009-7312

Link

https://jcbr.journals.ekb.eg/article_342461.html

Detail API

https://jcbr.journals.ekb.eg/service?article_code=342461

Order

3

Type

Original Article

Type Code

885

Publication Type

Journal

Publication Title

Egyptian Journal of Cancer and Biomedical Research

Publication Link

https://jcbr.journals.ekb.eg/

MainTitle

Insights into the Clinico-Epidemiological Aspects of Non-Epithelial Ovarian Tumor Emphasizing Diagnosis and Tailored Surgical Approach; a Single Institutional Retrospective Study

Details

Type

Article

Created At

30 Dec 2024