Effect of surgical staging on 539 patients with borderline ovarian tumors: A Turkish Gynecologic Oncology Group study

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dc.contributor.authorGuvenal T.
dc.contributor.authorDursun P.
dc.contributor.authorHasdemir P.S.
dc.contributor.authorHanhan M.
dc.contributor.authorGuven S.
dc.contributor.authorYetimalar H.
dc.contributor.authorGoksedef B.P.
dc.contributor.authorSakarya D.K.
dc.contributor.authorDoruk A.
dc.contributor.authorTerek M.C.
dc.contributor.authorSaatli B.
dc.contributor.authorGuzin K.
dc.contributor.authorCorakci A.
dc.contributor.authorDeger E.
dc.contributor.authorCelik H.
dc.contributor.authorCetin A.
dc.contributor.authorOzsaran A.
dc.contributor.authorOzbakkaloglu A.
dc.contributor.authorKolusari A.
dc.contributor.authorCelik C.
dc.contributor.authorKeles R.
dc.contributor.authorSagir F.G.
dc.contributor.authorDilek S.
dc.contributor.authorUslu T.
dc.contributor.authorDikmen Y.
dc.contributor.authorAltundag O.
dc.contributor.authorAyhan A.
dc.date.accessioned2024-07-22T08:17:55Z
dc.date.available2024-07-22T08:17:55Z
dc.date.issued2013
dc.description.abstractObjective The objectives of this study were to examine demographic and clinicopathologic characteristics and to determine the effects of primary surgery, surgical staging and the extensiveness of staging. Methods In a retrospective Turkish multicenter study, 539 patients, from 14 institutions, with borderline ovarian tumors were investigated. Some of the demographic, clinical and surgical characteristics of the cases were evaluated. The effects of type of surgery, surgical staging; complete or incomplete staging on survival rates were calculated by using Kaplan-Meier method. Results The median age at diagnosis was 40 years (range 15-84) and 71.1% of patients were premenopausal. The most common histologic types were serous and mucinous. Majority of the staged cases were in Stage IA (73.5%). 242 patients underwent conservative surgery. Recurrence rates were significantly higher in conservative surgery group (8.3% vs. 3%). Of all patients in this study, 294 (54.5%) have undergone surgical staging procedures. Of the patients who underwent surgical staging, 228 (77.6%) had comprehensive staging including lymphadenectomy. Appendectomy was performed on 204 (37.8%) of the patients. The median follow-up time was 36 months (range 1-120 months). Five-year survival rate was 100% and median survival time was 120 months. Surgical staging, lymph node sampling or dissection and appendectomy didn't cause any difference on survival. Conclusion Comprehensive surgical staging, lymph node sampling or dissection and appendectomy are not beneficial in borderline ovarian tumors surgical management. © 2013 Elsevier Inc.
dc.identifier.DOI-ID10.1016/j.ygyno.2013.08.038
dc.identifier.issn10956859
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17157
dc.language.isoEnglish
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectAppendectomy
dc.subjectFemale
dc.subjectHumans
dc.subjectKaplan-Meier Estimate
dc.subjectLymph Node Excision
dc.subjectLymph Nodes
dc.subjectLymphatic Metastasis
dc.subjectMiddle Aged
dc.subjectNeoplasm Recurrence, Local
dc.subjectNeoplasm Staging
dc.subjectOvarian Neoplasms
dc.subjectRetrospective Studies
dc.subjectTurkey
dc.subjectYoung Adult
dc.subjectAppendectomy
dc.subjectBorderline
dc.subjectLymphadenectomy
dc.subjectOvarian tumor
dc.subjectSurgical staging
dc.subjectCA 125 antigen
dc.subjectadolescent
dc.subjectadult
dc.subjectaged
dc.subjectappendectomy
dc.subjectarticle
dc.subjectborderline ovarian tumor
dc.subjectcancer staging
dc.subjectcancer surgery
dc.subjectclinical feature
dc.subjectcystectomy
dc.subjectdemography
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectlymph node dissection
dc.subjectmajor clinical study
dc.subjectmulticenter study (topic)
dc.subjectomentectomy
dc.subjectovariectomy
dc.subjectovary tumor
dc.subjectperitoneal biopsy
dc.subjectpremenopause
dc.subjectpriority journal
dc.subjectrecurrence risk
dc.subjectretrospective study
dc.subjectsalpingooophorectomy
dc.subjectsurvival rate
dc.subjectsurvival time
dc.titleEffect of surgical staging on 539 patients with borderline ovarian tumors: A Turkish Gynecologic Oncology Group study
dc.typeArticle

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