RT  - European Journal of Gynaecological Oncology
ID  - 10.12892/ejgo3674.2017
T1  - Epithelial ovarian cancer and primary peritoneal carcinomatosis in the elderly: what is our clinical practice?
A1  - J.M. Mañé
A1  - B. Calvo
A1  - U. Aresti
A1  - S. Carrera
A1  - A. Sancho
A1  - E. Azkona
A1  - I. Marrodán
A1  - I. Ugalde
A1  - I. Rubio
A1  - G. López-Vivanco
K1  - Epithelial ovarian cancer
K1  - Primary peritoneal carcinomatosis
K1  - Elderly patients
K1  - Geriatric assessment.
YR  - 2017
SP  - 695
AB  - <p><i>Purpose of investigation: </i>The aim of this study was to evaluate clinical practice and the prognostic variables related to survival in elderly people diagnosed with epithelial ovarian cancer (EOC) or primary peritoneal carcinomatosis (PPC). <i>Materials and Methods: </i>Fifty-three patients were included and they were divided into two groups, 65-75 years and over 75 years. The variables analyzed were PS, CA125, stage, metastases, cytoreductive surgery, quality of surgery, chemotherapy, and response to chemotherapy. <i>Results: </i>The median age of the patients was 73 years. Eighty-nine of the patients had EOC. The median overall survival was 30.5 months with no significant difference between the age groups. The statistical analysis showed no difference except among Stage III patients compared to IV in favor of the younger group (<i>p </i>= 0.023). In the multivariate analysis only the Eastern Cooperative Oncology Group (ECOG) score (<i>p </i>= 0.001) and response to chemotherapy (<i>p </i>= 0.007) significantly influenced survival. <i>Conclusion: </i>The specific assessment of elderly allows optimizing the results of cancer treatment in ovarian tumors.</p>