Cargando…
Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking
Background: Ovarian cancers are one of the most common gynecological cancers and serous tumor is one of the most common histological form of extrauterine female genital tract tumors. While ovarian serous carcinoma is a well-studied human gynecologic malignancy, this high-grade tumor remains lethal....
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546745/ https://www.ncbi.nlm.nih.gov/pubmed/36237759 http://dx.doi.org/10.7759/cureus.28909 |
_version_ | 1784805112922767360 |
---|---|
author | Chauhan, Sonali Shrivastava, Deepti Dhande, Rajasbala Deo, Asawari |
author_facet | Chauhan, Sonali Shrivastava, Deepti Dhande, Rajasbala Deo, Asawari |
author_sort | Chauhan, Sonali |
collection | PubMed |
description | Background: Ovarian cancers are one of the most common gynecological cancers and serous tumor is one of the most common histological form of extrauterine female genital tract tumors. While ovarian serous carcinoma is a well-studied human gynecologic malignancy, this high-grade tumor remains lethal. Case description: A 50-year-old female with P2L2A2 (Para-2, Live-2, Abortion-2) presented with pain in the abdomen for six months. Investigations were done, which revealed bilateral large ovarian cystic lesion suggestive of ovarian malignancy. She underwent six cycles of chemotherapy followed by exploratory laparotomy. Objective: We examined the precipitating factors, laboratory abnormalities including cancer antigen 125 (CA-125) levels, treatment strategies including neoadjuvant therapy and debulking surgery, and clinical recovery in ovarian malignancy. Conclusion: Primary debulking surgery (PDS), although the preferred treatment for ovarian cancer, is accompanied by combination chemotherapy based on platinum. However, neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS) has gained a reputation as a legitimate therapeutic technique specifically for patients with stage IV unresectable bulky tumors or poor general condition. Treatment with NACT is now expected to become a routine treatment or a successful treatment choice for advanced epithelial ovarian cancer (EOC). |
format | Online Article Text |
id | pubmed-9546745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-95467452022-10-12 Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking Chauhan, Sonali Shrivastava, Deepti Dhande, Rajasbala Deo, Asawari Cureus Obstetrics/Gynecology Background: Ovarian cancers are one of the most common gynecological cancers and serous tumor is one of the most common histological form of extrauterine female genital tract tumors. While ovarian serous carcinoma is a well-studied human gynecologic malignancy, this high-grade tumor remains lethal. Case description: A 50-year-old female with P2L2A2 (Para-2, Live-2, Abortion-2) presented with pain in the abdomen for six months. Investigations were done, which revealed bilateral large ovarian cystic lesion suggestive of ovarian malignancy. She underwent six cycles of chemotherapy followed by exploratory laparotomy. Objective: We examined the precipitating factors, laboratory abnormalities including cancer antigen 125 (CA-125) levels, treatment strategies including neoadjuvant therapy and debulking surgery, and clinical recovery in ovarian malignancy. Conclusion: Primary debulking surgery (PDS), although the preferred treatment for ovarian cancer, is accompanied by combination chemotherapy based on platinum. However, neoadjuvant chemotherapy (NACT) followed by interval debulking surgery (IDS) has gained a reputation as a legitimate therapeutic technique specifically for patients with stage IV unresectable bulky tumors or poor general condition. Treatment with NACT is now expected to become a routine treatment or a successful treatment choice for advanced epithelial ovarian cancer (EOC). Cureus 2022-09-07 /pmc/articles/PMC9546745/ /pubmed/36237759 http://dx.doi.org/10.7759/cureus.28909 Text en Copyright © 2022, Chauhan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Obstetrics/Gynecology Chauhan, Sonali Shrivastava, Deepti Dhande, Rajasbala Deo, Asawari Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title | Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title_full | Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title_fullStr | Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title_full_unstemmed | Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title_short | Role of Neoadjuvant Chemotherapy in Ovarian Serous Cancer Followed by Debulking |
title_sort | role of neoadjuvant chemotherapy in ovarian serous cancer followed by debulking |
topic | Obstetrics/Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546745/ https://www.ncbi.nlm.nih.gov/pubmed/36237759 http://dx.doi.org/10.7759/cureus.28909 |
work_keys_str_mv | AT chauhansonali roleofneoadjuvantchemotherapyinovarianserouscancerfollowedbydebulking AT shrivastavadeepti roleofneoadjuvantchemotherapyinovarianserouscancerfollowedbydebulking AT dhanderajasbala roleofneoadjuvantchemotherapyinovarianserouscancerfollowedbydebulking AT deoasawari roleofneoadjuvantchemotherapyinovarianserouscancerfollowedbydebulking |