Anna Fagotti, Valerio Gallotta, Federico Romano, Francesco Fanfani, Cristiano Rossitto, Angelica Naldini, Massimo Vigliotta, Giovanni Scambia, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, 100168, Rome, Italy.
World J Gastrointest Oncol. 2010 Feb 15;2(2):102-8. doi: 10.4251/wjgo.v2.i2.102.
Epithelial ovarian cancer (EOC) is the second most common genital malignancy in women and is the most lethal gynecological malignancy, with an estimated five-year survival rate of 39%. Despite efforts to develop an effective ovarian cancer screening method, 60% of patients still present with advanced disease. Comprehensive management using surgical cytoreduction to decrease the tumor load to a minimum, and intraperitoneal chemotherapy to eliminate microscopic disease on peritoneal surface, has the potential to greatly improve quality of life and to have an impact on survival in ovarian cancer patients. Despite achieving clinical remission after completion of initial treatment, most patients (60%) with advanced EOC will ultimately develop recurrent disease or show drug resistance; the eventual rate of curability is less than 30%. Given the poor outcome of women with advanced EOC, it is imperative to continue to explore novel therapies.
上皮性卵巢癌(EOC)是女性中第二常见的生殖系统恶性肿瘤,也是最致命的妇科恶性肿瘤,估计五年生存率为 39%。尽管努力开发有效的卵巢癌筛查方法,但仍有 60%的患者表现为晚期疾病。通过手术减瘤来最大限度地减少肿瘤负荷,以及腹腔内化疗来消除腹膜表面上的微小疾病,有可能极大地提高生活质量并对卵巢癌患者的生存产生影响。尽管在初始治疗完成后达到临床缓解,但大多数晚期 EOC 患者(60%)最终将发展为复发性疾病或出现耐药性;最终治愈率小于 30%。鉴于晚期 EOC 女性的不良预后,必须继续探索新的治疗方法。