Hyperthermic intraperitoneal chemotherapy as consolidation treatment of advanced stage ovarian cancer

Obstetrics & Gynecology Science

Joon Mo Lee¹  Seung Hun Song¹  Min Chul Choi¹  Chan Lee¹  Sang Geun Jung¹  Won Duk Joo¹  Hyun Park¹  Jieun Ko²  Hyeong In Ha³ 

[1] Comprehensive Gynecologic Cancer Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea;Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea;Department of Obstetrics and Gynecology, Pusan National University Yangsan Hospital, Yangsan, Korea;

关键词: ovarian neoplasm;    hyperthermic intraperitoneal chemotherapy;    intraperitoneal;    chemotherapy;   

DOI  :  10.5468/ogs.21093

来源: DOAJ

【 摘 要 】

Objective To investigate the therapeutic efficacy of hyperthermic intraperitoneal chemotherapy (HIPEC) as consolidation treatment after completing first-line treatment in patients with advanced ovarian cancer. Methods A retrospective chart review was conducted on patients treated at the Comprehensive Gynecologic Cancer Center between January 2014 and 2019. Based on the inclusion criteria, 24 eligible patients who received HIPEC (paclitaxel 175 mg/m2, for 90 minutes, at 42°C) (HIPEC group) as consolidation treatment after terminating the adjuvant chemotherapy were identified. Another 24 patients who met the inclusion criteria and did not receive HIPEC were matched, representing the non-HIPEC group. Disease-free survival (DFS) and overall survival (OS) were examined between the two groups. Results The median DFS was 28.7 and 24.2 months in the HIPEC and non-HIPEC groups, respectively (P=0.688). The 3-year DFS rates in the HIPEC and non-HPEC groups were 39.5% and 32.6%, respectively. However, the median OS was not determined. The 5-year OS rates in the HIPEC and non-HIPEC groups were 86.2% and 81.3%, respectively (P=0.850). One patient developed grade 3 neutropenia. Other patients experienced mild adverse events after HIPEC. Conclusion This study suggests that consolidation HIPEC could not support the survival benefit after completing the first-line treatment for patients with advanced ovarian cancer, although no severe specific safety issues were found. Therefore, randomized trials evaluating consolidation HIPEC for the management of ovarian cancer are warranted.

【 授权许可】

Unknown