A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas
Background Primary mucinous epithelial ovarian adenocarcinoma (mEOC) constitutes a small percentage (2–5%) of ovarian cancer. Our aim is to understand the clinicopathological characteristics and survival results of patients with mEOC after a long-term follow-up. Materials and Methods This is a retr...
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doaj-505a6c39bae948719ad4ef2940b8e59a2020-12-14T23:52:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.South Asian Journal of Cancer2278-330X2278-43062020-06-0190209009210.1055/s-0040-1721211A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous AdenocarcinomasGaurav Das0V. Sridevi1Mohanaraj Natarajan2Department of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, IndiaDepartment of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, IndiaDepartment of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, IndiaBackground Primary mucinous epithelial ovarian adenocarcinoma (mEOC) constitutes a small percentage (2–5%) of ovarian cancer. Our aim is to understand the clinicopathological characteristics and survival results of patients with mEOC after a long-term follow-up. Materials and Methods This is a retrospective study of primary mEOC cases treated at a tertiary cancer center in India, from January 1, 2005, to December 31, 2012. Results Out of 958 malignant ovarian tumors, 52 (5.43%) were mucinous adenocarcinoma. Nearly 71.2% of cases were of early-stage disease, and the remaining were of advanced-stage disease. After a follow-up period of 63 months (range: 1–138 months), the 5-year actuarial overall survival for stages I, II, III, and IV was 92.5, 70, 38.5, and 0%, respectively. Among advanced-stage tumors, half of them progressed without undergoing cytoreductive surgery and died. Conclusion Most of the mEOC cases present in early stages and have good clinical outcome. Patients with advanced-stage disease do not respond well to standard chemotherapy regimens in use and have poor survival figures. The use of primary cytoreduction should be considered in the place of interval cytoreduction for advanced mEOC.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721211cytoreductive surgerymucinous adenocarcinomaneoadjuvant chemotherapyovarian cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gaurav Das V. Sridevi Mohanaraj Natarajan |
spellingShingle |
Gaurav Das V. Sridevi Mohanaraj Natarajan A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas South Asian Journal of Cancer cytoreductive surgery mucinous adenocarcinoma neoadjuvant chemotherapy ovarian cancer |
author_facet |
Gaurav Das V. Sridevi Mohanaraj Natarajan |
author_sort |
Gaurav Das |
title |
A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas |
title_short |
A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas |
title_full |
A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas |
title_fullStr |
A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas |
title_full_unstemmed |
A Tertiary Cancer Center Experience of 52 Cases of Primary Ovarian Mucinous Adenocarcinomas |
title_sort |
tertiary cancer center experience of 52 cases of primary ovarian mucinous adenocarcinomas |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
South Asian Journal of Cancer |
issn |
2278-330X 2278-4306 |
publishDate |
2020-06-01 |
description |
Background Primary mucinous epithelial ovarian adenocarcinoma (mEOC) constitutes a small percentage (2–5%) of ovarian cancer. Our aim is to understand the clinicopathological characteristics and survival results of patients with mEOC after a long-term follow-up.
Materials and Methods This is a retrospective study of primary mEOC cases treated at a tertiary cancer center in India, from January 1, 2005, to December 31, 2012.
Results Out of 958 malignant ovarian tumors, 52 (5.43%) were mucinous adenocarcinoma. Nearly 71.2% of cases were of early-stage disease, and the remaining were of advanced-stage disease. After a follow-up period of 63 months (range: 1–138 months), the 5-year actuarial overall survival for stages I, II, III, and IV was 92.5, 70, 38.5, and 0%, respectively. Among advanced-stage tumors, half of them progressed without undergoing cytoreductive surgery and died.
Conclusion Most of the mEOC cases present in early stages and have good clinical outcome. Patients with advanced-stage disease do not respond well to standard chemotherapy regimens in use and have poor survival figures. The use of primary cytoreduction should be considered in the place of interval cytoreduction for advanced mEOC. |
topic |
cytoreductive surgery mucinous adenocarcinoma neoadjuvant chemotherapy ovarian cancer |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1721211 |
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