RT Journal Article
SR Electronic
T1 Ovarian carcinoma of low maligant potential treated at the Jewish General Hospital, Montreal, between 1973 and 1997
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 253
OP 257
VO 42
IS 4
A1 Vera Hinke
A1 Markus C. Martin
YR 1999
UL http://canjsurg.ca/content/42/4/253.abstract
AB Objective: To review the epidemiologic and pathological characteristics and the management of ovarian cancer of low malignant potential (LMP) at a university teaching institution.Data source: Hospital charts from 1973 to 1997.Data extraction: The authors carried out a manual study of the individual hospital charts covering the study period.Data synthesis: The findings of this review revealed that the mean age of the 30 women in the study was 48.7 years and was similar in the subgroups of women having serous (18) and mucinous (9) types. In those women for whom staging information was available, all had either stage I disease (12 serous, 7 mucinous) or stage III disease (4 serous, 1 mucinous). Treatment consisted of: total abdominal hysterectomy (TAH) and bilateral salpingo-oophorectomy (BSO) with or without omentectomy (OM); BSO, unilateral oophorectomy or ovarian cystectomy alone; or TAH, OM and left salpingo-oophorectomy in women with stage I tumours. All women with stage III tumours underwent TAH, BSO and OM. The recurrence rate was low. Only 1 of 22 stage I tumours but 3 of 5 stage III tumours recurred.Conclusions: Appropriate postoperative treatment for women with this type of ovarian cancer should be conservative. However, the management of higher stage disease remains controversial.