Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.1, Apr. 2015, Pub. Date: Mar. 21, 2015
Neoadjuvant Chemotherapy versus Primary Surgery in the Management of Advanced Stage Ovarian Cancer
Pages: 1-5 Views: 1464 Downloads: 534
Authors
[01] Moawia E. Hummeida, Department of Obstetrics and Gynaecology, Division of Gyno-oncology, School of Medicine, Alneelain University, Khartoum, Sudan.
[02] Howaida Sharif, Department of Obstetrics and Gynaecology, Khartoum Teaching Hospital, Khartoum, Sudan.
[03] Duria A. Rais, Department of Obstetrics and Gynaecology, Faculty of Medicine, Khartoum University, Khartoum, Sudan.
[04] Khalid Yassin, Department of Obstetrics and Gynaecology, School of Medicine, Alneelain University, Khartoum, Sudan.
[05] Azza Zulfo, Department of Pathology, Khartoum Teaching Hospital, Khartoum, Sudan.
[06] Kamal Hamad, Department of Clinical Oncology, Faculty of Medicine, Khartoum University, Khartoum, Sudan.
[07] Abdel Aziem A. Ali, Department of Obstetrics and Gynaecology, Faculty of Medicine, Kassala University, Kasala, Sudan.
Abstract
This was a prospective observational comparative hospital based study conducted in Khartoum Teaching Hospital, Sudan, during September 2011 and through February 2012, to evaluate the role of neoadjuvant chemotherapy (Paclitaxil and carboplatin) in the management of advanced ovarian cancer compared to primary surgery, and to determine the impact of neoadjuvant chemotherapy on the optimization of cytoreductive surgery. Chi-squaire and t tests were performed and P<0.05 was considered significant. A total of fifty patients were enrolled in this study, twenty patients received neoadjuvant chemotherapy and interval debulking surgery (IDS), and 30 patients underwent primary surgery (PS) and received adjuvant chemotherapy. In comparison with patients who received neoadjuvant chemotherapy there was higher proportion of patients showed intra-operative ascites (93.3% Vs 10%, P=<0.001), adhesion (66.6% Vs 0%, P=0.002), omental cake (53.3% Vs 15%, P=0.006) and distant metastasis (93.3% Vs 0%, P=<0.001) among the women who underwent primary surgery. This study showed optimal cyto-reductive surgery for the patients who received neoadjuvant chemotherapy in comparison with those who underwent primary surgery (100% Vs 50%, P=<0.001). The mean (SD) of hospital stay, ICU admission and units of blood transfusion was lower among patients who received neoadjuvant chemotherapy. Thus neoadjuvant chemotherapy is of more benefit than primary surgery in the management of advanced stage ovarian cancer.
Keywords
Ovarian, Cancer, Chemotherapy, Sudan
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