{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T16:34:10Z","timestamp":1706718850875},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,11,18]],"date-time":"2013-11-18T00:00:00Z","timestamp":1384732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Ovarian cancer is the second most common gynecological malignancy, yet it has the highest case\u2010fatality ratio of all gynecologic malignancies. Surgery followed by combination platinum\u2010taxane chemotherapy is the standard approach to the management of primary epithelial ovarian cancer. However, standard treatment of patients with recurrent ovarian cancer remains poorly defined. Secondary cytoreductive surgery (<jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content>) at the time of relapse has been proposed as a means of improving the prognosis of recurrent ovarian cancer patients with a treatment\u2010free interval of at least 6 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the present study, we retrospectively collected 16 patients with recurrent epithelial ovarian cancer who might benefit most from <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content> and evaluated the impact of <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content> on the outcomes for this highly select patient group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content> led to excellent outcomes, with a 73.1% 8\u2010year overall survival rate after initial treatment, a 67.9% 5\u2010year overall survival rate after prior <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content>, and a 31.3% 5\u2010year progression\u2010free survival rate after prior <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content>. Although the findings were not significant, these results suggest that repeated <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content> might improve outcomes for this patient group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The present study may provide a platform for discussion of the impact of aggressive or repeated <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content> on the survival of patients with recurrent epithelial ovarian cancer and favorable prognostic factors. Further multi\u2010institutional studies with larger number of patients are mandatory to confirm the present findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12222","type":"journal-article","created":{"date-parts":[[2013,11,19]],"date-time":"2013-11-19T04:55:32Z","timestamp":1384836932000},"page":"791-796","source":"Crossref","is-referenced-by-count":4,"title":["Retrospective analysis of outcomes of secondary debulking surgery for recurrent epithelial ovarian cancer with favorable prognostic factors"],"prefix":"10.1111","volume":"40","author":[{"given":"Kaei","family":"Nasu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita Japan"},{"name":"Division of Obstetrics and Gynecology Department of Regional Medicine Faculty of Medicine Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kentaro","family":"Kai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Hirakawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakazu","family":"Nishida","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harunobu","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Kawano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine Oita University  Oita 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