Abstract | OBJECTIVE: METHODS: The data of 131 patients treated between January 1990 and December 1998 in Union Hospital and Tongji Hospital were analyzed retrospectively. Survival was calculated using the Kaplan-Meier method and comparisons were performed using Log-rank test. Independent prognostic factors were identified by the Cox proportional hazards regression model. RESULTS: Univariate analysis showed that age, general conditions, menopausal status, stage, pathological types, location of the tumor, residual tumor and retroperitoneal lymphadenectomy were prognostic factors. Multivariate analysis showed that age, stage, residual tumor, retroperitoneal lymphadenectomy and the number of courses of chemotherapy were the most important prognostic factors. The survival rate could not be improved through retroperitoneal lymphadenectomy in the patients in early stage, advanced stage with residual tumor > 2 cm or those with mucinous adenocarcinoma (P > 0.05). Among patients in advanced stage cancer with a residual tumor </= 2 cm, 5-year survival was 65% and 30% for patients who did and did not undergo lymphadenectomy, respectively (P < 0.01). Among patients with serous adenocarcinoma, 5-year survival was 61% and 31% for patients who did and did not undergo lymphadenectomy, respectively (P < 0.01). CONCLUSIONS:
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Authors | Zehua Wang, Zhoufang Xiong, Shixuan Wang |
Journal | Chinese medical journal
(Chin Med J (Engl))
Vol. 116
Issue 4
Pg. 588-92
(Apr 2003)
ISSN: 0366-6999 [Print] China |
PMID | 12875728
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Child
- Female
- Humans
- Lymph Node Excision
(methods)
- Middle Aged
- Neoplasms, Glandular and Epithelial
(mortality, surgery)
- Ovarian Neoplasms
(mortality, surgery)
- Prognosis
- Retroperitoneal Space
- Survival Rate
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