Analysis of prognosis and associated factors in multiple recurrent epithelial ovarian cancer with three or more cytoreductive surgeries.
A trend in the management of ovarian surgery is more aggressive intervention looking for total clearance of residual tumour. Because the outcomes for patients with recurrent ovarian cancer is so poor, many such women now have multiple attempts to do so.
Whether this is appropriate is debatable. This study looks at women who have had three or more attempts at clearance surgery.
The results show a diminishing effectiveness of such surgery with poor outcomes and significantly increased adverse result. The authors suggest that more than two attempts at surgical clearance is unlikely to provide significant benefit.
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