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Intraoperative rupture and chemotherapy use in stage I ovarian cancer

  • Koji Matsuo
    Correspondence
    Corresponding author at: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, 2020 Zonal Avenue, IRD 520, Los Angeles, CA 90033, USA.
    Affiliations
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, USA

    Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA
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  • Alesandra R. Rau
    Affiliations
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, USA
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  • Hiroko Machida
    Affiliations
    Department of Obstetrics and Gynecology, University of Tokai School of Medicine, Kanagawa, Japan
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  • Lynda D. Roman
    Affiliations
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, USA

    Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA
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  • Jason D. Wright
    Affiliations
    Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY, USA
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Published:March 17, 2023DOI:https://doi.org/10.1016/j.ejogrb.2023.03.015
Intraoperative rupture and chemotherapy use in stage I ovarian cancer
Previous ArticleNon-Excisional Therapeutic Modalities In Vaginal Intraepithelial Neoplasia
Next ArticleFertility outcomes after hysteroscopic niche resection compared with expectant management in women with a niche in the uterine cesarean scar
      Ovarian capsule rupture during surgery for stage IA-B ovarian cancer changes the cancer stage to IC1 disease. Not only does this upstage the tumor, but intraoperative capsule rupture is associated with decreased survival [
      • Matsuo K.
      • Huang Y.
      • Matsuzaki S.
      • Klar M.
      • Roman L.D.
      • Sood A.K.
      • et al.
      Minimally invasive surgery and risk of capsule rupture for women with early-stage ovarian cancer.
      JAMA Oncol. 2020; 6: 1110
      ,
      • Matsuo K.
      • Machida H.
      • Yamagami W.
      • Ebina Y.
      • Kobayashi Y.
      • Tabata T.
      • et al.
      Intraoperative capsule rupture, postoperative chemotherapy, and survival of women with stage i epithelial ovarian cancer.
      Obstet Gynecol. 2019; 134: 1017-1026
      ,
      • Dioun S.
      • Wu j.
      • Chen l.
      • Kaplan s.
      • Huang y.
      • Melamed a.
      • et al.
      Intraoperative rupture of the ovarian capsule in early-stage ovarian cancer: a meta-analysis.
      Obstet Gynecol. 2021; 138: 261-271
      ]. As such, intraoperative rupture may influence the decision to offer postoperative chemotherapy [

      Ovarian cancer including fallopian tube cancer and primary peritoneal cancer. National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/pdf/ovarian.pdf (accessed 10/10/2022).

      ]. A prior investigation suggested that adjuvant chemotherapy may not improve survival in case of capsule rupture [
      • Matsuo K.
      • Machida H.
      • Yamagami W.
      • Ebina Y.
      • Kobayashi Y.
      • Tabata T.
      • et al.
      Intraoperative capsule rupture, postoperative chemotherapy, and survival of women with stage i epithelial ovarian cancer.
      Obstet Gynecol. 2019; 134: 1017-1026
      ].

      Keywords

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      References

        • Matsuo K.
        • Huang Y.
        • Matsuzaki S.
        • Klar M.
        • Roman L.D.
        • Sood A.K.
        • et al.
        Minimally invasive surgery and risk of capsule rupture for women with early-stage ovarian cancer.
        JAMA Oncol. 2020; 6: 1110
        View in Article
        • Matsuo K.
        • Machida H.
        • Yamagami W.
        • Ebina Y.
        • Kobayashi Y.
        • Tabata T.
        • et al.
        Intraoperative capsule rupture, postoperative chemotherapy, and survival of women with stage i epithelial ovarian cancer.
        Obstet Gynecol. 2019; 134: 1017-1026
        View in Article
        • Dioun S.
        • Wu j.
        • Chen l.
        • Kaplan s.
        • Huang y.
        • Melamed a.
        • et al.
        Intraoperative rupture of the ovarian capsule in early-stage ovarian cancer: a meta-analysis.
        Obstet Gynecol. 2021; 138: 261-271
        View in Article

      4. Ovarian cancer including fallopian tube cancer and primary peritoneal cancer. National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/pdf/ovarian.pdf (accessed 10/10/2022).

        View in Article

      5. Surveillance, Epidemiology, and End Results Program, National Cancer Institute. https://seer.cancer.gov/ (accessed 12/06/2022).

        View in Article

      Article info

      Publication history

      Published online: March 17, 2023
      Accepted: March 16, 2023
      Received in revised form: February 21, 2023
      Received: December 6, 2022

      Publication stage

      In Press Journal Pre-Proof

      Identification

      DOI: https://doi.org/10.1016/j.ejogrb.2023.03.015

      Copyright

      © 2023 Elsevier B.V. All rights reserved.

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