Prognostic factors for outcome of and survival after second-look laparotomy in patients with advanced ovarian carcinoma.

Abstract:

:In ovarian cancer stages IIB-IV, pre-treatment variables and variables obtained intraoperatively at second-look laparotomy were investigated for their prognostic influence on the outcome of 109 patients and survival after second-look laparotomy in 131 patients. The subjects came from a randomized trial of sequential versus alternating combination chemotherapy. The overall median survival after second-look laparotomy was 62 months. Logistic regression analysis identified stage and hysterectomy plus bilateral salpingo-oophorectomy and omentectomy as significant prognostic covariates for second-look laparotomy outcome. Based on a Cox multivariate stepwise analysis, independent prognostic factors for survival after second-look laparotomy were secondary residual tumor size, pre-treatment histologic differentiation grade, and performance status. A high differentiation grade and a good performance status at the start of therapy thus still had a prolonging effect on survival after second-look laparotomy. The prognostic power of these pre-treatment variables was increased substantially by the addition of the secondary residual tumor size variable. The 3-year survival rate after second-look laparotomy for high- and low-risk patients was 15 and 87%, respectively. Second-look laparotomy thus provides prognostic information in patients with advanced ovarian carcinoma, but the benefit in terms of survival is still unclear.

journal_name

Obstet Gynecol

authors

Lund B,Williamson P

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

617-22

issue

4

eissn

0029-7844

issn

1873-233X

journal_volume

76

pub_type

临床试验,杂志文章,随机对照试验
  • Tranexamic acid treatment for heavy menstrual bleeding: a randomized controlled trial.

    abstract:OBJECTIVE:To assess the efficacy and safety of an oral formulation of tranexamic acid for the treatment of heavy menstrual bleeding. METHODS:Adult women with heavy menstrual bleeding (mean menstrual blood loss 80 mL or more per cycle) were enrolled in a double-blind, placebo-controlled study. After two pretreatment me...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181f20177

    authors: Lukes AS,Moore KA,Muse KN,Gersten JK,Hecht BR,Edlund M,Richter HE,Eder SE,Attia GR,Patrick DL,Rubin A,Shangold GA

    更新日期:2010-10-01 00:00:00

  • Cervical adenosquamous carcinoma: tumor implantation in an episiotomy scar.

    abstract:BACKGROUND:We report a rare case of a cervical adenosquamous carcinoma, initially diagnosed during delivery, with subsequent implantation in the episiotomy scar 5 weeks postpartum. CASE:A 35-year-old woman with cervical adenosquamous carcinoma diagnosed during delivery was treated with radical abdominal hysterectomy w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000275260.45730.ea

    authors: Neumann G,Rasmussen KL,Petersen LK

    更新日期:2007-08-01 00:00:00

  • Landry Guillain-Barré Strohl syndrome in pregnancy: report of three cases treated with plasmapheresis.

    abstract::Landry Guillain-Barré Strohl syndrome complicating pregnancy is a rare occurrence, with only 31 cases previously reported in the obstetric literature. Cytomegalovirus as a potential etiologic agent has been documented in only two of these cases. In the past, symptomatic treatment of pregnant patients with severe and p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hurley TJ,Brunson AD,Archer RL,Lefler SF,Quirk JG Jr

    更新日期:1991-09-01 00:00:00

  • Risk of Peripartum Hysterectomy and Center Hysterectomy and Delivery Volume.

    abstract:OBJECTIVE:To characterize where women at risk for and undergoing peripartum hysterectomy delivered in terms of obstetric volume and procedural experience. METHODS:We used data from the Perspective database to retrospectively evaluate trends in peripartum hysterectomy and deliveries at high risk of peripartum hysterect...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001722

    authors: Govindappagari S,Wright JD,Ananth CV,Huang Y,DʼAlton ME,Friedman AM

    更新日期:2016-12-01 00:00:00

  • A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy.

    abstract:OBJECTIVE:To hypothesize that higher intake of docosahexaenoic acid, an n-3 long chain polyunsaturated fatty acid, would increase duration of gestation and birth weight in US women. METHODS:This was a randomized, double-blind, controlled, clinical trial. Subjects were enrolled in an ambulatory clinic where they receiv...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(02)02585-1

    authors: Smuts CM,Huang M,Mundy D,Plasse T,Major S,Carlson SE

    更新日期:2003-03-01 00:00:00

  • Fetal acidemia associated with regional anesthesia for elective cesarean delivery.

    abstract:OBJECTIVE:To determine the prevalence, magnitude, and type of fetal acidemia associated with contemporary obstetric anesthetic techniques. METHODS:Umbilical artery blood gases were obtained in 1601 singleton pregnancies delivered by elective cesarean. RESULTS:General anesthesia was used in 371 (23%) women, epidural i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)p4401-9

    authors: Roberts SW,Leveno KJ,Sidawi JE,Lucas MJ,Kelly MA

    更新日期:1995-01-01 00:00:00

  • Pulsion enterocele: long-term results of an abdominoperineal technique.

    abstract::Surgical correction of large pulsion enterocele is a contentious subject and until a technique is founded upon proper anatomic facts, the arguments will continue. Pulsion enterocele follows changes in the pelvic cellular tissues and levator ani complex; both defects must be corrected. Synchronous abdominoperineal repa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Zacharin RF,Hamilton NT

    更新日期:1980-02-01 00:00:00

  • Morbid obesity as an independent risk factor for disease-specific mortality in women with cervical cancer.

    abstract:OBJECTIVE:To assess whether obesity is an independent predictor of mortality in women with cervical cancer. METHODS:This retrospective cohort study of patients with stages IB1-IVA cervical cancer treated with curative intent at MD Anderson Cancer Center from 1980 through 2007 categorized these women as underweight, no...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000558

    authors: Frumovitz M,Jhingran A,Soliman PT,Klopp AH,Schmeler KM,Eifel PJ

    更新日期:2014-12-01 00:00:00

  • ACOG Committee Opinion No. 409: Direct-to-consumer marketing of genetic testing.

    abstract::Marketing of genetic testing, although similar to direct-to-consumer advertising of prescription drugs, raises additional concerns and considerations. These include issues of limited knowledge among patients and health care providers of available genetic tests, difficulty in interpretation of genetic testing results, ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0b013e31817d250e

    authors: Committee on Genetics, American College of Obstetricians and Gynecologists.,Committee on Ethics, American College of Obstetricians and Gynecologists.

    更新日期:2008-06-01 00:00:00

  • Cloacal dysgenesis.

    abstract::Cloacal dysgenesis is a rare anomaly. Fifty cases have been reported in the literature. This condition differs from the usual imperforate anus. The diagnosis, evaluation, and therapeutic management require an understanding of the embryogenesis of the cloaca. The presence at birth of a single interlabial orifice or an ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Okonkwo JE,Crocker KM

    更新日期:1977-07-01 00:00:00

  • Prenatal imaging: ultrasonography and magnetic resonance imaging.

    abstract::The Eunice Kennedy Shriver National Institute of Child Health and Human Development held a workshop on September 18-19, 2006, to summarize the available evidence on the role and performance of current fetal imaging technology and to establish a research agenda. Ultrasonography is the imaging modality of choice for pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000318871.95090.d9

    authors: Reddy UM,Filly RA,Copel JA,Pregnancy and Perinatology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Department of Health and Human Services, NIH.

    更新日期:2008-07-01 00:00:00

  • Effect of ritodrine on labor after premature rupture of the membranes.

    abstract::The effect on labor of administering ritodrine after a premature rupture of the membranes (PROM) was studied in a double-blind trial in 30 patients. The patients were selected according to the following criteria: 28 to 36 weeks' gestation, only 1 fetus, cervix dilated 4 cm or less, and absence of pyrexia or other sign...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Christensen KK,Ingemarsson I,Leideman T,Solum T,Svenningsen N

    更新日期:1980-02-01 00:00:00

  • Uterine sarcoidosis potentially associated with interferon-alpha use for chronic hepatitis C infection.

    abstract:BACKGROUND:A regimen including interferon-alpha has become the standard of care in the treatment of chronic hepatitis C over the last decade. One rare adverse effect associated with the use of interferon-alpha is a granulomatous pulmonary reaction. CASE:A unique case of uterine sarcoidosis associated with the use of i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000157764.44292.aa

    authors: Tsiodras S,Drimala P,Stavreas N,Dachlythras M,Alamani AM,Naoum G

    更新日期:2005-05-01 00:00:00

  • Efficacy of different starting doses of oxytocin for induction of labor.

    abstract::One thousand twenty inductions of labor by amniotomy and continuous infusion of oxytocin at the Royal Women's Hospital were reviewed. Three different starting rates of infusion of oxytocin were used by altering the concentration to 2, 5, or 10 U/L. There was no difference in success of induction as measured by inducti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wein P

    更新日期:1989-12-01 00:00:00

  • Is urinary incontinence a barrier to exercise in women?

    abstract:OBJECTIVE:To describe the prevalence of urinary incontinence during exercise in women, estimate whether exercise intensity is related to leakage severity, and report women's assessments of incontinence as a barrier to exercise. METHODS:Questionnaires were mailed to 5,130 women aged 18-60 years drawn from National Fami...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000168455.39156.0f

    authors: Nygaard I,Girts T,Fultz NH,Kinchen K,Pohl G,Sternfeld B

    更新日期:2005-08-01 00:00:00

  • Abuse history and chronic pain in women: II. A multivariate analysis of abuse and psychological morbidity.

    abstract:OBJECTIVE:To assess the potential role of childhood and adulthood physical and sexual abuse and complaints of chronic pain in accounting for psychiatric symptomatology in adult women. METHODS:We assessed sexual abuse, physical abuse, depression, anxiety, and somatization in 64 women with chronic pelvic pain, 42 women ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Walling MK,O'Hara MW,Reiter RC,Milburn AK,Lilly G,Vincent SD

    更新日期:1994-08-01 00:00:00

  • Adolescent pregnancy in Portugal: effectiveness of continuity of care by an obstetrician.

    abstract:OBJECTIVE:To improve health among newborn infants of pregnant adolescents in Portugal, we developed and evaluated a prenatal care intervention. METHODS:The study group consisted of 80 adolescents recruited as they registered for prenatal care at Hospital Santa Maria in Lisbon. The intervention consisted of three compo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Silva MO,Cabral H,Zuckerman B

    更新日期:1993-01-01 00:00:00

  • Practice Bulletin Summary No. 152: Emergency Contraception.

    abstract::Emergency contraception, also known as postcoital contraception, is therapy used to prevent pregnancy after an unprotected or inadequately protected act of sexual intercourse. Common indications for emergency contraception include contraceptive failure (eg, condom breakage or missed doses of oral contraceptives) and f...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000471179.25809.d8

    authors:

    更新日期:2015-09-01 00:00:00

  • XY gonadal dysgenesis: aberrant testicular differentiation in the presence of H-Y antigen.

    abstract::Six patients with pure nonmosaic 46,XY gonadal dysgenesis (XY GD) and histocompatibility H-Y antigen titers in the normal male range (H-Y+) are presented. Clinical characteristics included a female phenotype, masculine skeletal characteristics, signs of virilization, and primary amenorrhea. All individuals had unambig...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Moltz L,Schwartz U,Pickartz H,Hammerstein J,Wolf U

    更新日期:1981-07-01 00:00:00

  • Positive rubella titers in pregnancy: a question of validity.

    abstract::A review of 25 patients with more than 1 rubella titer by hemagglutination-inhibition testing revealed 3 patients with high positive titers that were reported to be negative in subsequent pregnancies. None of the patients had received the rubella vaccine. Because the sensitivity and reliability of hemagglutination-inh...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hall JA,Wills ER,Hall K,Pearson JW

    更新日期:1979-08-01 00:00:00

  • Dermatomyositis and female malignancy.

    abstract::All cases of dermatomyositis-polymyositis in women seen between 1970 and 1977 at Baylor Affiliated Hospitals were reviewed. Twenty-five patients were identified with this diagnosis. Of these women, 5 were found to have a malignant tumor: 3 ovarian carcinomas, 1 cervical intraepithelial carcinoma, and 1 colon carcinoma...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Scaling ST,Kaufman RH,Patten BM

    更新日期:1979-10-01 00:00:00

  • Fetal nucleated cells in maternal peripheral blood after delivery in cases of fetomaternal hemorrhage.

    abstract:OBJECTIVE:To determine how long fetal nucleated cells can be detected in maternal peripheral blood after delivery in cases of fetomaternal hemorrhage, using fluorescence in situ hybridization or polymerase chain reaction. METHODS:Nucleated cells with Y chromosomes were analyzed in 90 blood samples using fluorescence i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00414-9

    authors: Hamada H,Arinami T,Hamaguchi H,Kubo T

    更新日期:1995-03-01 00:00:00

  • Ectopic pancreas in the fallopian tube. Report of a first case.

    abstract::A case of ectopic pancreas in the fallopian tube is reported. This small, polypoid, benign tumor was in a fallopian tube contralateral to a ruptured tubal pregnancy. The patient had a tubal ligation performed six years previously. To the best of our knowledge this is the first reported case of isolated ectopic pancrea...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mason TE,Quagliarello JR

    更新日期:1976-07-01 00:00:00

  • Promethazine hydrochloride therapy in severely Rh-sensitized pregnancies.

    abstract::Seventeen severely Rh-sensitized women were treated with promethazine hydrochloride (Phenergan) in 18 pregnancies, according to a protocol described by Gusdon et al. There was an unequivocal amelioration of the disease process in 10 of the pregnancies. In 9 of these 10 pregnancies, the infant survived. In 4 of the pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Charles AG,Blumenthal LS

    更新日期:1982-11-01 00:00:00

  • Relation of mild idiopathic polyhydramnios to perinatal outcome.

    abstract::The relation between clinically obvious polyhydramnios and poor perinatal outcome has been described. Much less is known about mild, unexplained polyhydramnios, which usually is initially suggested by sonographic examination late in gestation. The purpose of the present investigation was to relate mild idiopathic poly...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-199203000-00012

    authors: Smith CV,Plambeck RD,Rayburn WF,Albaugh KJ

    更新日期:1992-03-01 00:00:00

  • Cystic ovarian enlargement resulting from autoimmune oophoritis.

    abstract::Autoimmune oophoritis is a rare cause of premature ovarian failure. Previous studies of autoimmune oophoritis have detailed the clinical, immunologic, and histologic findings. The gross pathologic features of the involved ovaries have detailed the clinical, immunologic, and histologic findings. The gross pathologic fe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Biscotti CV,Hart WR,Lucas JG

    更新日期:1989-09-01 00:00:00

  • Rates of postpartum glucose testing after gestational diabetes mellitus.

    abstract:OBJECTIVE:To estimate rates of postpartum glucose tolerance testing in women diagnosed with gestational diabetes mellitus (GDM) and to assess factors associated with testing. METHODS:This was a retrospective cohort study of 344 women with GDM who received prenatal care in a maternal diabetes clinic during 2001-2004. R...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000245446.85868.73

    authors: Russell MA,Phipps MG,Olson CL,Welch HG,Carpenter MW

    更新日期:2006-12-01 00:00:00

  • What Is New in Validation and Simulation Training?: Best Articles From the Past Year.

    abstract::This month we focus on current research in validation and simulation training. Dr. Buek discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003592

    authors: Buek J

    更新日期:2019-12-01 00:00:00

  • Ticarcillin/clavulanic acid versus clindamycin and gentamicin in the treatment of post-cesarean endometritis following antibiotic prophylaxis.

    abstract::One hundred fifty-two women who received cefazolin prophylaxis and subsequently developed postpartum endometritis were randomized to treatment with either ticarcillin/clavulanic acid (75) or clindamycin-gentamicin (77). Bacteria isolated from the endometrium were predominantly facultative anaerobic bacteria. The ratio...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Faro S,Martens M,Hammill H,Phillips LE,Smith D,Riddle G

    更新日期:1989-05-01 00:00:00

  • Oral contraceptives and nonfatal vascular disease.

    abstract::A follow-up study of more than 65,000 healthy women aged 15 to 44 was conducted to assess the association between oral contraceptive use and thromboembolism, stroke, or nonfatal myocardial infarction from 1980 through 1982 at Group Health Cooperative of Puget Sound. A positive association existed between current oral ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Porter JB,Hunter JR,Jick H,Stergachis A

    更新日期:1985-07-01 00:00:00