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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1990-12-4
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pubmed:abstractText |
The management of patients with epithelial ovarian cancer with no or minimal residual disease at second-look laparotomy after aggressive surgery and platinum-based chemotherapy has not been definitively established. We report the results of a randomized study comparing three more courses of the same chemotherapy inducing the response (21 patients) with whole-abdomen radiotherapy (20 patients). Thirty-eight patients responded to first-line chemotherapy and three had stabilization of disease. In eight patients tumor debulking was performed at second-look laparotomy. No severe toxic effects were noted in both arms. Bowel obstruction occurred in one patient treated with radiotherapy. At a median follow-up of 22 months, 11 of 20 patients in the radiotherapy arm and 6 of 21 in the chemotherapy arm progressed and 9 and 3 patients died, respectively. Although the number of randomized patients is small we stopped the trial because of the survival and progression-free survival advantage of chemotherapy-treated patients.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
0090-8258
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
38
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
392-5
|
pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2227553-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2227553-Carboplatin,
pubmed-meshheading:2227553-Cisplatin,
pubmed-meshheading:2227553-Cyclophosphamide,
pubmed-meshheading:2227553-Doxorubicin,
pubmed-meshheading:2227553-Female,
pubmed-meshheading:2227553-Humans,
pubmed-meshheading:2227553-Ovarian Neoplasms,
pubmed-meshheading:2227553-Radiotherapy,
pubmed-meshheading:2227553-Survival Analysis
|
pubmed:year |
1990
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pubmed:articleTitle |
Chemotherapy versus radiotherapy in the management of ovarian cancer patients with pathological complete response or minimal residual disease at second look.
|
pubmed:affiliation |
Istituto Nazionale per la Ricera sul Cancro, Genoa, Italy.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|