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Ovarian surface serous papillary carcinomas: a clinicopathologic study
A Liapis1, A Condi-Paphiti, E Pyrgiotis
1Department of Obstetrics and Gynecology, Areteion Hospital, Athens, Greece.
European Journal of Gynaecological Oncology
|January 1, 1996
Summary
Surface papillary serous ovarian cancers and peritoneal papillary serous cancers share similar histologic features and treatment responses. Both malignant conditions benefit from similar surgical and chemotherapeutic interventions.
Area of Science:
- Gynecologic Oncology
- Pathology
Background:
- Malignant epithelial ovarian tumors present a significant health challenge.
- Distinguishing between surface serous ovarian carcinoma and peritoneal papillary serous carcinoma is crucial for treatment planning.
Purpose of the Study:
- To compare the clinicopathologic features and treatment outcomes of surface papillary serous ovarian carcinoma and peritoneal papillary serous carcinoma.
- To determine if these two entities should be treated similarly.
Main Methods:
- Retrospective review of 129 patients with malignant epithelial ovarian tumors diagnosed between 1982 and 1992.
- Detailed analysis of gross specimens, histopathology, and treatment records for 11 patients with papillary serous carcinomas (10 ovarian, 1 peritoneal).
- All patients had Stage III disease involving the peritoneum and omentum.
Main Results:
- The median age of presentation was 58 years.
- All patients underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy, followed by chemotherapy.
- Median survival was 15 months, with 3 patients surviving 3-4 years post-diagnosis.
Conclusions:
- Surface serous ovarian cancers and peritoneal papillary serous cancers exhibit similar histologic appearances.
- Both types of cancer demonstrate comparable responsiveness to surgical and chemotherapeutic treatments.
- A unified treatment approach for these conditions is recommended.