Follow-up Laparoscopy in Patients with Ovarian Cancer

概要

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Between 1982 and 1990, two hundred and fourteen consecutive follow-up laparoscpies were performed on 75 patients with epithelial ovarian cancer when the disease appeared to be clinically in complete remission according to simultaneous CT scan or ultrasonography. Evaluations were based on macroscopic findings through the laparoscope, by cytologic examination of ascitic and peritoneal washings and by intraperitoneal biopsy. The results were positive in 34 laparoscopies for 19 patients, suspicious in 15 laparoscopies for 13 patients and negative in 165 laparoscopies. The intraperitoneal recurrence rate after negative second-look laparoscopy was 14.0% as awhole, and 4.5% in cases with more than two consecutive negative evaluations. Serum CA-125 levels exhibited an elevation in 28 of the 34 positive laparoscopies before treatment and remained within the normal range in 22 (78.6%) of the 28 cases after treatment despite positive follow-up laparoscopies. The repeated laparoscopies offer the advantage of lowering the false negative rate. This will enable early detection of intraperitoneal recurrence, better prognoses and reduction of unnecessary laparotomies.
東海大学の論文