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The use of cisplatin plus doxorubicin or paclitaxel in hyperthermic intraperitoneal chemotherapy (HIPEC) for stage IIIC or IV epithelial ovarian cancer: a comparative study

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Abstract

Purpose

Our main aim is to analyze the survival results in women operated on for advanced ovarian cancer with two different HIPEC regimens (cisplatin plus doxorubicin versus paclitaxel).

Patients and methods

A prospective cohort of patients with stage IIIC or IV epithelial ovarian cancer operated on with cytoreductive surgery and HIPEC, from October-2008 to February-2016, was retrospectively analyzed. The two drugs used, cisplatin/doxorubicin (Group A) and paclitaxel (Group B), were compared.

Results

Forty-one patients were treated with cytoreductive surgery and HIPEC; 19 patients (46%) were in Group A and 22 (54%) were in Group B. The extent of peritoneal disease was comparable between groups (Peritoneal Cancer Index of 10 in Group A versus PCI of 12.5 in Group B). There were no differences in morbidity between groups, with a severe morbidity (Dindo–Clavien III or IV) of 36.8% versus 27.3%, respectively. There was no postoperative mortality. Median follow-up was 39 months. Median overall survival was 79 months. Overall survival at 3 years in Group A was 66% versus 82.9% in Group B (p = 0.248). Incomplete cytoreduction (macroscopic residual tumour after surgery) was identified as the only independent factor that influenced overall survival (HR 12.30, 95% CI 1.28–118.33, p = 0.03). The cytostatic used in HIPEC had no influence in overall survival.

Conclusion

The cytostatic used in HIPEC did not have a negative effect in the prognosis of patients with advanced ovarian cancer.

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Authors and Affiliations

  1. Peritoneal Carcinomatosis Unit, Department of General and Digestive Surgery, University Hospital of Fuenlabrada, C/ Camino del Molino 2, 28942, Fuenlabrada, Madrid, Spain

    I. Manzanedo, F. Pereira, Á. Serrano & E. Pérez-Viejo

  2. Rey Juan Carlos University (URJC), Madrid, Spain

    I. Manzanedo, F. Pereira, Á. Serrano & E. Pérez-Viejo

  3. Department of General and Digestive Surgery, University Hospital of Fuenlabrada, C/Camino del Molino 2, 28942, Fuenlabrada, Madrid, Spain

    B. Martínez-Torres & L. Carrión

  4. Department of Medical Oncology, University Hospital of Fuenlabrada, C/Camino del Molino 2, 28942, Fuenlabrada, Madrid, Spain

    J. Calzas

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  1. I. Manzanedo
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  2. F. Pereira
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Correspondence to I. Manzanedo.

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The authors declare that they have no conflict of interest.

Ethical approval

The current study has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

All the patients included in the study have signed an informed consent for the intervention, in which they have indicated their implicit consent for the collection of data for future oncological analyzes.

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Manzanedo, I., Pereira, F., Serrano, Á. et al. The use of cisplatin plus doxorubicin or paclitaxel in hyperthermic intraperitoneal chemotherapy (HIPEC) for stage IIIC or IV epithelial ovarian cancer: a comparative study. Clin Transl Oncol 21, 1357–1363 (2019). https://doi.org/10.1007/s12094-019-02065-3

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  • DOI: https://doi.org/10.1007/s12094-019-02065-3

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