Prognostic value of peritoneal cancer index in primary advanced ovarian cancer
Effective tumor debulking is a major factor associated with a favorable prognosis in patients with advanced ovarian cancer (AOC). However, FIGO staging fails to take full account of the extent of the disease in the peritoneum, making it difficult to plan appropriate surgical treatment. In contrast,...
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| Veröffentlicht in: | European journal of surgical oncology 2018-01, Vol.44 (1), p.163-169 |
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| creator | Llueca, Antoni Escrig, Javier Serra-Rubert, A. Gomez-Quiles, L. Rivadulla, I. Játiva-Porcar, R. Moreno-Clarí, E. Montañés-Pauls, B. Granel-Villach, L. Villegas-Cánovas, C. Ángel-Yepes, V. Maiocchi, K. Medina-Medina, C. Delgado-Barriga, K. Rodrigo-Aliaga, M. Ruiz, N. Lopez, A. Maazouzi, Y. Piquer, D. Segarra, B. Del Moral, R. |
| description | Effective tumor debulking is a major factor associated with a favorable prognosis in patients with advanced ovarian cancer (AOC). However, FIGO staging fails to take full account of the extent of the disease in the peritoneum, making it difficult to plan appropriate surgical treatment. In contrast, the peritoneal cancer index (PCI) can provide more detailed information about peritoneal spread.
We evaluated the prognostic value of PCI and its association with clinicopathological features in patients with AOC. Data for 80 patients with AOC who underwent primary debulking surgery were analyzed retrospectively. PCI scores of 0–39 were calculated based on the sizes of lesions in 13 abdominopelvic regions, and patients were classified into three categories with scores of 1–10, 11–20, and >20, respectively. Clinicopathological features, including the presence of residual tumor after surgery and the incidence of postoperative complications, were assessed in relation to PCI score.
PCI was significantly associated with suboptimal surgery and postoperative complications, as well as with preoperative CA125, ascites, prolonged surgery, FIGO stage, positive aortic lymph nodes, prolonged hospitalization, and number of visceral resections. Overall and disease-free survival was also associated with PCI, with an optimal cut-off value of 15. Multivariate analysis identified age, residual tumor, and PCI as independent prognostic factors for survival. A PCI >10 is positively associated with a poor prognosis in patients with AOC.
Given the importance of effective tumor debulking, PCI may provide important information for surgical planning in patients with AOC. |
| doi_str_mv | 10.1016/j.ejso.2017.11.003 |
| format | Article |
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We evaluated the prognostic value of PCI and its association with clinicopathological features in patients with AOC. Data for 80 patients with AOC who underwent primary debulking surgery were analyzed retrospectively. PCI scores of 0–39 were calculated based on the sizes of lesions in 13 abdominopelvic regions, and patients were classified into three categories with scores of 1–10, 11–20, and >20, respectively. Clinicopathological features, including the presence of residual tumor after surgery and the incidence of postoperative complications, were assessed in relation to PCI score.
PCI was significantly associated with suboptimal surgery and postoperative complications, as well as with preoperative CA125, ascites, prolonged surgery, FIGO stage, positive aortic lymph nodes, prolonged hospitalization, and number of visceral resections. Overall and disease-free survival was also associated with PCI, with an optimal cut-off value of 15. Multivariate analysis identified age, residual tumor, and PCI as independent prognostic factors for survival. A PCI >10 is positively associated with a poor prognosis in patients with AOC.
Given the importance of effective tumor debulking, PCI may provide important information for surgical planning in patients with AOC.</description><identifier>ISSN: 0748-7983</identifier><identifier>EISSN: 1532-2157</identifier><identifier>DOI: 10.1016/j.ejso.2017.11.003</identifier><identifier>PMID: 29198495</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Advanced ovarian cancer ; Cytoreduction Surgical Procedures - methods ; Debulking surgery ; Disease-Free Survival ; Female ; Humans ; Middle Aged ; Neoplasm Invasiveness ; Neoplasm Staging ; Neoplasm, Residual ; Ovarian Neoplasms - mortality ; Ovarian Neoplasms - pathology ; Ovarian Neoplasms - surgery ; Peritoneal cancer index ; Peritoneal Neoplasms - mortality ; Peritoneal Neoplasms - pathology ; Peritoneum - pathology ; Prognosis ; Residual tumor ; Retrospective Studies ; Spain - epidemiology ; Survival ; Survival Rate - trends</subject><ispartof>European journal of surgical oncology, 2018-01, Vol.44 (1), p.163-169</ispartof><rights>2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology</rights><rights>Copyright © 2017 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-15c3812de603d3b142dfbfd986c219424a77c94e8fac28d769ba515bac17dc903</citedby><cites>FETCH-LOGICAL-c356t-15c3812de603d3b142dfbfd986c219424a77c94e8fac28d769ba515bac17dc903</cites><orcidid>0000-0003-3723-8795 ; 0000-0002-4599-5828</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0748798317309642$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29198495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Llueca, Antoni</creatorcontrib><creatorcontrib>Escrig, Javier</creatorcontrib><creatorcontrib>Serra-Rubert, A.</creatorcontrib><creatorcontrib>Gomez-Quiles, L.</creatorcontrib><creatorcontrib>Rivadulla, I.</creatorcontrib><creatorcontrib>Játiva-Porcar, R.</creatorcontrib><creatorcontrib>Moreno-Clarí, E.</creatorcontrib><creatorcontrib>Montañés-Pauls, B.</creatorcontrib><creatorcontrib>Granel-Villach, L.</creatorcontrib><creatorcontrib>Villegas-Cánovas, C.</creatorcontrib><creatorcontrib>Ángel-Yepes, V.</creatorcontrib><creatorcontrib>Maiocchi, K.</creatorcontrib><creatorcontrib>Medina-Medina, C.</creatorcontrib><creatorcontrib>Delgado-Barriga, K.</creatorcontrib><creatorcontrib>Rodrigo-Aliaga, M.</creatorcontrib><creatorcontrib>Ruiz, N.</creatorcontrib><creatorcontrib>Lopez, A.</creatorcontrib><creatorcontrib>Maazouzi, Y.</creatorcontrib><creatorcontrib>Piquer, D.</creatorcontrib><creatorcontrib>Segarra, B.</creatorcontrib><creatorcontrib>Del Moral, R.</creatorcontrib><creatorcontrib>MUAPOS working group (Multidisciplinary Unit of Abdominal Pelvic Oncology Surgery)</creatorcontrib><title>Prognostic value of peritoneal cancer index in primary advanced ovarian cancer</title><title>European journal of surgical oncology</title><addtitle>Eur J Surg Oncol</addtitle><description>Effective tumor debulking is a major factor associated with a favorable prognosis in patients with advanced ovarian cancer (AOC). However, FIGO staging fails to take full account of the extent of the disease in the peritoneum, making it difficult to plan appropriate surgical treatment. In contrast, the peritoneal cancer index (PCI) can provide more detailed information about peritoneal spread.
We evaluated the prognostic value of PCI and its association with clinicopathological features in patients with AOC. Data for 80 patients with AOC who underwent primary debulking surgery were analyzed retrospectively. PCI scores of 0–39 were calculated based on the sizes of lesions in 13 abdominopelvic regions, and patients were classified into three categories with scores of 1–10, 11–20, and >20, respectively. Clinicopathological features, including the presence of residual tumor after surgery and the incidence of postoperative complications, were assessed in relation to PCI score.
PCI was significantly associated with suboptimal surgery and postoperative complications, as well as with preoperative CA125, ascites, prolonged surgery, FIGO stage, positive aortic lymph nodes, prolonged hospitalization, and number of visceral resections. Overall and disease-free survival was also associated with PCI, with an optimal cut-off value of 15. Multivariate analysis identified age, residual tumor, and PCI as independent prognostic factors for survival. A PCI >10 is positively associated with a poor prognosis in patients with AOC.
Given the importance of effective tumor debulking, PCI may provide important information for surgical planning in patients with AOC.</description><subject>Advanced ovarian cancer</subject><subject>Cytoreduction Surgical Procedures - methods</subject><subject>Debulking surgery</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Neoplasm Invasiveness</subject><subject>Neoplasm Staging</subject><subject>Neoplasm, Residual</subject><subject>Ovarian Neoplasms - mortality</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Peritoneal cancer index</subject><subject>Peritoneal Neoplasms - mortality</subject><subject>Peritoneal Neoplasms - pathology</subject><subject>Peritoneum - pathology</subject><subject>Prognosis</subject><subject>Residual tumor</subject><subject>Retrospective Studies</subject><subject>Spain - epidemiology</subject><subject>Survival</subject><subject>Survival Rate - trends</subject><issn>0748-7983</issn><issn>1532-2157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQRpYEn53EscSCEF9SBQwwW459Qa7SuNhJBf-eRC2MLHfDPe8r3UPIOdAMKJRXqwxX0WeMgsgAMkr5AZlDwVnKoBCHZE5FXqVCVnxGTmJcUUolF_KYzJgEWeWymJPn1-A_Oh97Z5KtbgdMfJNsMLjed6jbxOjOYEhcZ_FrnMkmuLUO34m22-liE7_VweluD56So0a3Ec_2e0He7-_ebh_T5cvD0-3NMjW8KPsUCsMrYBZLyi2vIWe2qRsrq9IwkDnLtRBG5lg12rDKilLWuoCi1gaENZLyBbnc9W6C_xww9mrtosG21R36ISqQgnFK84KNKNuhJvgYAzZq_4MCqiaPaqUmj2ryqADU6HEMXez7h3qN9i_yK24ErncAjl9uHQYVjcPJiAtoemW9-6__BwFBhIw</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Llueca, Antoni</creator><creator>Escrig, Javier</creator><creator>Serra-Rubert, A.</creator><creator>Gomez-Quiles, L.</creator><creator>Rivadulla, I.</creator><creator>Játiva-Porcar, R.</creator><creator>Moreno-Clarí, E.</creator><creator>Montañés-Pauls, B.</creator><creator>Granel-Villach, L.</creator><creator>Villegas-Cánovas, C.</creator><creator>Ángel-Yepes, V.</creator><creator>Maiocchi, K.</creator><creator>Medina-Medina, C.</creator><creator>Delgado-Barriga, K.</creator><creator>Rodrigo-Aliaga, M.</creator><creator>Ruiz, N.</creator><creator>Lopez, A.</creator><creator>Maazouzi, Y.</creator><creator>Piquer, D.</creator><creator>Segarra, B.</creator><creator>Del Moral, R.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3723-8795</orcidid><orcidid>https://orcid.org/0000-0002-4599-5828</orcidid></search><sort><creationdate>201801</creationdate><title>Prognostic value of peritoneal cancer index in primary advanced ovarian cancer</title><author>Llueca, Antoni ; Escrig, Javier ; Serra-Rubert, A. ; Gomez-Quiles, L. ; Rivadulla, I. ; Játiva-Porcar, R. ; Moreno-Clarí, E. ; Montañés-Pauls, B. ; Granel-Villach, L. ; Villegas-Cánovas, C. ; Ángel-Yepes, V. ; Maiocchi, K. ; Medina-Medina, C. ; Delgado-Barriga, K. ; Rodrigo-Aliaga, M. ; Ruiz, N. ; Lopez, A. ; Maazouzi, Y. ; Piquer, D. ; Segarra, B. ; Del Moral, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-15c3812de603d3b142dfbfd986c219424a77c94e8fac28d769ba515bac17dc903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Advanced ovarian cancer</topic><topic>Cytoreduction Surgical Procedures - methods</topic><topic>Debulking surgery</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Neoplasm Invasiveness</topic><topic>Neoplasm Staging</topic><topic>Neoplasm, Residual</topic><topic>Ovarian Neoplasms - mortality</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Peritoneal cancer index</topic><topic>Peritoneal Neoplasms - mortality</topic><topic>Peritoneal Neoplasms - pathology</topic><topic>Peritoneum - pathology</topic><topic>Prognosis</topic><topic>Residual tumor</topic><topic>Retrospective Studies</topic><topic>Spain - epidemiology</topic><topic>Survival</topic><topic>Survival Rate - trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Llueca, Antoni</creatorcontrib><creatorcontrib>Escrig, Javier</creatorcontrib><creatorcontrib>Serra-Rubert, A.</creatorcontrib><creatorcontrib>Gomez-Quiles, L.</creatorcontrib><creatorcontrib>Rivadulla, I.</creatorcontrib><creatorcontrib>Játiva-Porcar, R.</creatorcontrib><creatorcontrib>Moreno-Clarí, E.</creatorcontrib><creatorcontrib>Montañés-Pauls, B.</creatorcontrib><creatorcontrib>Granel-Villach, L.</creatorcontrib><creatorcontrib>Villegas-Cánovas, C.</creatorcontrib><creatorcontrib>Ángel-Yepes, V.</creatorcontrib><creatorcontrib>Maiocchi, K.</creatorcontrib><creatorcontrib>Medina-Medina, C.</creatorcontrib><creatorcontrib>Delgado-Barriga, K.</creatorcontrib><creatorcontrib>Rodrigo-Aliaga, M.</creatorcontrib><creatorcontrib>Ruiz, N.</creatorcontrib><creatorcontrib>Lopez, A.</creatorcontrib><creatorcontrib>Maazouzi, Y.</creatorcontrib><creatorcontrib>Piquer, D.</creatorcontrib><creatorcontrib>Segarra, B.</creatorcontrib><creatorcontrib>Del Moral, R.</creatorcontrib><creatorcontrib>MUAPOS working group (Multidisciplinary Unit of Abdominal Pelvic Oncology Surgery)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Llueca, Antoni</au><au>Escrig, Javier</au><au>Serra-Rubert, A.</au><au>Gomez-Quiles, L.</au><au>Rivadulla, I.</au><au>Játiva-Porcar, R.</au><au>Moreno-Clarí, E.</au><au>Montañés-Pauls, B.</au><au>Granel-Villach, L.</au><au>Villegas-Cánovas, C.</au><au>Ángel-Yepes, V.</au><au>Maiocchi, K.</au><au>Medina-Medina, C.</au><au>Delgado-Barriga, K.</au><au>Rodrigo-Aliaga, M.</au><au>Ruiz, N.</au><au>Lopez, A.</au><au>Maazouzi, Y.</au><au>Piquer, D.</au><au>Segarra, B.</au><au>Del Moral, R.</au><aucorp>MUAPOS working group (Multidisciplinary Unit of Abdominal Pelvic Oncology Surgery)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic value of peritoneal cancer index in primary advanced ovarian cancer</atitle><jtitle>European journal of surgical oncology</jtitle><addtitle>Eur J Surg Oncol</addtitle><date>2018-01</date><risdate>2018</risdate><volume>44</volume><issue>1</issue><spage>163</spage><epage>169</epage><pages>163-169</pages><issn>0748-7983</issn><eissn>1532-2157</eissn><abstract>Effective tumor debulking is a major factor associated with a favorable prognosis in patients with advanced ovarian cancer (AOC). However, FIGO staging fails to take full account of the extent of the disease in the peritoneum, making it difficult to plan appropriate surgical treatment. In contrast, the peritoneal cancer index (PCI) can provide more detailed information about peritoneal spread.
We evaluated the prognostic value of PCI and its association with clinicopathological features in patients with AOC. Data for 80 patients with AOC who underwent primary debulking surgery were analyzed retrospectively. PCI scores of 0–39 were calculated based on the sizes of lesions in 13 abdominopelvic regions, and patients were classified into three categories with scores of 1–10, 11–20, and >20, respectively. Clinicopathological features, including the presence of residual tumor after surgery and the incidence of postoperative complications, were assessed in relation to PCI score.
PCI was significantly associated with suboptimal surgery and postoperative complications, as well as with preoperative CA125, ascites, prolonged surgery, FIGO stage, positive aortic lymph nodes, prolonged hospitalization, and number of visceral resections. Overall and disease-free survival was also associated with PCI, with an optimal cut-off value of 15. Multivariate analysis identified age, residual tumor, and PCI as independent prognostic factors for survival. A PCI >10 is positively associated with a poor prognosis in patients with AOC.
Given the importance of effective tumor debulking, PCI may provide important information for surgical planning in patients with AOC.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>29198495</pmid><doi>10.1016/j.ejso.2017.11.003</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3723-8795</orcidid><orcidid>https://orcid.org/0000-0002-4599-5828</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | European journal of surgical oncology, 2018-01, Vol.44 (1), p.163-169 |
| issn | 0748-7983 1532-2157 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Advanced ovarian cancer Cytoreduction Surgical Procedures - methods Debulking surgery Disease-Free Survival Female Humans Middle Aged Neoplasm Invasiveness Neoplasm Staging Neoplasm, Residual Ovarian Neoplasms - mortality Ovarian Neoplasms - pathology Ovarian Neoplasms - surgery Peritoneal cancer index Peritoneal Neoplasms - mortality Peritoneal Neoplasms - pathology Peritoneum - pathology Prognosis Residual tumor Retrospective Studies Spain - epidemiology Survival Survival Rate - trends |
| title | Prognostic value of peritoneal cancer index in primary advanced ovarian cancer |
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