abstract
INTRODUCTION:
This
study aimed to investigate Sugarbaker's peritoneal cancer index (PCI)
as a prognostic indicator for the resectability of ovarian carcinoma
(OC), as depicted in the study using the completeness of cytoreduction
score (CCS).Currently, the intraoperative assessment of operability in
OC surgery is primarily a subjective measurement that is dependent on
the surgeon.
METHODS:
The
retrospective data from 98 patients with OC International Federation of
Gynecology and Obstetrics (FIGO) III to IV who had received surgery
between January 2010 and December 2011 were analyzed. The PCI and the
CCS were determined retrospectively using surgical reports, histological
findings, and intraoperative photographic documentation. Receiver
operating characteristic curves and ordinal regression were applied to
evaluate the predictability of CCS using the PCI.
RESULTS:
Of
98 patients, 80 (81.6%) were staged FIGO III and 18 (18.4%) FIGO IV. A
statistically significant correlation was demonstrated between the PCI
and CCS (P < 0.01).......
CONCLUSIONS:
The
PCI more precisely defined the heterogeneous group of patients with OC
FIGO III. The PCI provided objectivity and reproducibility, and it seems
to be a possible prognostic indicator for OC resectability.
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