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논문KCI 등재

상피성 난소암에 있어서 이차 종양감축술의 적용

Current status of application of the secondary cytoreductive surgery for patients with epithelial ovarian carcinomas

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주제분류산부인과학

초록

=재발성 난소암 환자에서 적절한 이차 종양감출술은 예후에 중요한 인자로 인정되며 분화의 정도, 전이정도, 초기 종양의 크기와 같은 생물학적 특성은 재발성 난소암 환자의 예후를 결정하지 않는다고 추정할 수 있으며, 잔류 병소 0.5 cm 이내로 적절한 종양감축술 (optimal cytoreduction)이 가능한 경우, 주요 수술을 견딜 수 있는 수행능력이 있는 경우, platinum 제제에 반응을 보인 환자에서 일차 치료 종료로부터 재발까지의 12개월 이상의 긴 무병기간을 보이는 환자, carcinomatosis의 증거가 없는 재발성 난소암에서는 이차 종양감축술을 시행하여 예후의 개선을 기대할 수 있다.

참고문헌 (26)

  1. "상피성 난소암, In: 대한 부인종양 콜포스코피 학회, 제1판", 11, pp.316~321 (1996), 서울: 도서출판 칼빈서적
  2. "Epithelial ovarian cancer. In Hoskins WJ, Perez CA, Young RC, Barakat R, Markman M, Randall M, editors", pp.895~987 (2005), Philadelphia, PA: Lippincott-Raven Publishers
  3. "Cytoreductive surgery in ovarian carcinoma patients with a documented previously complete surgical response", 57, pp.61~65 (1995)
  4. "The role of secondary cytoreductive surgery in the treatment of patients with recurrent epithelial ovarian carcinoma", 88, pp.144~153 (2000)
  5. "Secondary cytoreductive surgery for patients with relapsed epithelial ovarian carcinoma: who benefits?", 1000, pp.1152~1161 (2004)
  6. "Secondary cytoreductive surgery for recurrent epithelial ovarian carcinoma: proposal for patients selection", 92, pp.1026~1032.3 (2005)
  7. "AGO Ovarian Committee; AGO Ovarian Cancer Study Group (AGO-OVAR) The role of surgery in recurrent ovarian cancer", 15, pp.195~158 (2005)
  8. "Survival of patients following secondary cytoreductive surgery in ovarian cancer" (1983)
  9. "Secondary cytoreductive surgery in epithelial ovarian cancer nonresponders to first-line therapy", pp.1~5
  10. "Radical surgical procedure improves survival time in patients with recurrent ovarian cancer", pp.2129~36
  11. "Secondary cytoreduction for ovarian cancer following cisplatin therapy", dotti(pr), pp.434~9
  12. "Follow-up after primary therapy management of the symptomatic patient-surgery", pp.3~
  13. "Survival of patients following secondary cytoreductive surgery in ovarian cancer" (1983)
  14. "The role of secondary cytoreduction in the treatment of ovarian cancer: Hacettepe University experience", 194, pp.49~56 (2006)
  15. "Impact of secondary cytoreductive surgery on survival of patients with advanced epithelial ovarian cancer", 26, pp.798~804 (2000)
  16. "The role of secondary cytoreductive surgery in the treatment of patients with recurrent epithelial ovarian carcinoma", 88, pp.144~153 (2000)
  17. "Secondary cytoreductive surgery for patients with recurrent epithelial ovarian carcinoma", 83, pp.504~512 (2001)
  18. "Secondary cytoreductive surgery for recurrent epithelial ovarian cancer", 99, pp.1008~1003 (2002)
  19. "Secondary cytoreductive surgery for patients with relapsed epithelial ovarian carcinoma: who benefits?", 100, pp.1152~61 (2004)
  20. "Surgical cytoreduction in recurrent ovarian carcinoma in patients with complete response to paclitaxel-platinum", 31, pp.67~73 (2005)
  21. "Secondary cytoreductive surgery for recurrent epithelial ovarian carcinoma proposal for patients selection", 92, pp.1026~1032 (2005)
  22. "The role of secondary cytoreduction in the treatment of ovarian cancer: Hacettepe University experience", 194, pp.49~56 (2006)
  23. "Guidelines and Selection Criteria for Secondary Cytoreductive Surgery in Patients with Recurrent, Platinum-Sensitive Epithelial Ovarian Carcinoma, Guidelines and selection criteria for secondary cytoreductive surgery in patients with recurrent, platinum- sensitive epithelial ovarian carcinoma", 106, pp.1933~1939 (2006)
  24. "Cytoreductive surgery for recurrent ovarian cancer Cytoreductive surgery for recurrent ovarian cancer", 19, pp.15~21 (2007)
  25. "Secondary cytoreductive surgery in patients with platinum- sensitive recurrent ovarian cancer", 14, pp.1136~1142 (2007)
  26. "Secondary cytoreductive surgery for localized, recurrent epithelial ovarian cancer: analysis of prognostic factors and survival outcome", 109, pp.685~691 (2007)

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