Huober J, Meyer A, Wagner U, Wallwiener D
University of Tuebingen, Dept. of Gynecology and Obstetrics, Schleichstrasse 4, 72076 Tuebingen, Germany.
J Cancer Res Clin Oncol. 2002 Mar;128(3):153-60. doi: 10.1007/s00432-001-0312-3. Epub 2002 Jan 29.
Radical debulking surgery allows for optimal cytoreduction in less than 50% of patients with advanced ovarian cancer. In spite of highly efficient chemotherapeutic regimens, the prognosis of patients with residual tumor masses larger than 1 cm in diameter following staging laparotomy is very poor. This observation led to the initiation of numerous trials evaluating the feasibility and efficiency of the use of primary chemotherapy followed by interval laparotomy in women with advanced ovarian cancer. The available data is presented and discussed in this review.
根治性减瘤手术仅能使不到50%的晚期卵巢癌患者实现最佳细胞减灭。尽管化疗方案高效,但分期剖腹手术后残留肿瘤直径大于1 cm的患者预后很差。这一观察结果促使开展了许多试验,评估晚期卵巢癌女性患者先进行初始化疗然后行中间性剖腹手术的可行性和有效性。本综述展示并讨论了现有数据。