Laparoscopic prediction of primary cytoreducibility of epithelial ovarian cancer.

IF 1.6 Q3 OBSTETRICS & GYNECOLOGY Minerva obstetrics and gynecology Pub Date : 2024-10-08 DOI:10.23736/S2724-606X.24.05452-6
Tullio Golia D'Augè, Ilaria Cuccu, Emanuele DE Angelis, Violante DI Donato, Ludovico Muzii, Ottavia D'Oria, Vito Chiantera, Sandro Gerli, Donatella Caserta, Aris R Besharat, Antonio S Laganà, Giorgio Bogani, Alessandro Favilli, Andrea Giannini
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Abstract

Ovarian cancer affects thousands of women every year and represents the female cancer with the highest mortality rate. Effectively, it is a severe disease that requires a multidisciplinary approach for optimal treatment. Surgery currently is the cornerstone of its treatment and numerous methods have been analyzed and developed to predict the possibility of obtaining a residual tumor of 0 (RT=0). This review aimed to analyze the available data in the literature about minimally invasive surgical methods to predict an RT=0 in patients with advanced epithelial ovarian carcinoma undergoing primary debulking surgery. An accurate review of the literature has been performed on the available data about the surgical criteria of cytoreducibility during primary debulking surgery. An accurate assessment of the extent of intra- and extra-abdominal pathology is essential to guide the surgeon in the most appropriate therapeutic choice for patients with ovarian cancer and multidisciplinary approaches that combine different methodologies such as radiological methods (magnetic resonance imaging, positron emission tomography and computed tomography), surgical (mini-laparotomy, laparoscopy) and serological (CA-125, HE4) data provide a complete picture in determining the extent of the tumor and an enormous aid in personalizing the therapeutic approach.

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通过腹腔镜预测上皮性卵巢癌的原发囊肿复发率。
卵巢癌每年影响成千上万的妇女,是死亡率最高的女性癌症。实际上,卵巢癌是一种严重的疾病,需要采用多学科方法进行最佳治疗。目前,手术是治疗的基石,人们分析并开发了许多方法来预测残留肿瘤为 0(RT=0)的可能性。本综述旨在分析现有文献中有关微创手术方法的数据,以预测接受初次剥除手术的晚期上皮性卵巢癌患者的 RT=0。对文献中关于原发剥除手术中细胞再造性手术标准的现有数据进行了准确的回顾。准确评估腹腔内和腹腔外病变的范围对于指导外科医生为卵巢癌患者选择最合适的治疗方法至关重要,而结合不同方法的多学科方法,如放射学方法(磁共振成像、正电子发射断层扫描和计算机断层扫描)、外科手术(小型腹腔镜手术、腹腔镜手术)和血清学(CA-125、HE4)数据,可为确定肿瘤范围提供全面的信息,并为个性化治疗方法提供巨大的帮助。
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来源期刊
Minerva obstetrics and gynecology
Minerva obstetrics and gynecology OBSTETRICS & GYNECOLOGY-
CiteScore
2.90
自引率
11.10%
发文量
191
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