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Laparotomía de second looken el tratamiento del áncer epitelial de ovario
M.E. Pradaa, J.M. Camporroa, J.L. Solísa, R. Fernández-Martínezb, F.J. Ferrerc
a Servicio de Ginecología y Obstetricia. Hospital de Cabueñes. Gijón. Asturias. España
b Sección de Oncología Médica. Hospital de Cabueñes. Gijón. Asturias. España
c Servicio de Ginecología y Obstetricia. Hospital Central. Oviedo. Asturias. España
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Objetivo&#58;Realizar un estudio retrospectivo en las pacientes con c&#225;ncer epitelial de ovario &#40;CEO&#41; diagnosticadas en nuestra &#225;rea de salud &#40;Cabue&#241;es&#44;Gij&#243;n&#41; entre 1991 y 2001&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Material y m&#233;todos&#58;Revisamos las caracter&#237;sticas de las pacientes&#44; del tumor y del tratamiento realizado&#44; con el fin de establecer el papel de la laparatom&#237;a de second look &#40;LSL&#41; en el tratamiento del CEO y su posible impacto en la supervivencia de las pacientes&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Resultados&#58;Durante el per&#237;odo de estudio&#44;se realiz&#243; LSL a 70 pacientes que&#44;tras completar el tratamiento primario con cirug&#237;a y quimioterapia&#44;se encontraban aparentemente libres de enfermedad&#46; Aunque las mujeres con LSL negativa tuvieron mejor supervivencia que las pacientes con enfermedad residual&#44; no se encontraron diferencias estad&#237;sticamente significativas en la supervivencia global y la supervivencia post-LSL en funci&#243;n del tumor residual despu&#233;s de esta cirug&#237;a&#46; Al finalizar el tratamiento&#44;encontramos un 41&#37; de recurrencias entre las pacientes que se encontraban libres de enfermedad&#44;cifra muy similar al 39&#37; hallado entre las pacientes con LSL negativa&#44;lo que demuestra el alto &#237;ndice de falsos negativos de esta cirug&#237;a&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Objective&#58;</span>To carry out a retrospective study on patients with ovarian epithelial cancer &#40;OEC&#41;&#44; diagnose in our Health Area &#40;Cabuenes&#44; Gij&#243;n&#41; from 1991 to 2001&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Material and methods&#58;</span>We review the patient&#8217;s characteristics&#44; tumor and treatment carried out&#44; with the intention of establishing the role of second look laparotomy &#40;SLL&#41; in the treatment of OEC&#44; and its possible impact on patients survival&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">Results&#58;</span>During the period studied SLL was carried out on 70 patients who&#44; following primary treatment with surgery and chemotherapy were apparently free f disease&#46; Although the women with negative SLL had better survival rates than women with residual disease&#44; no statistically significant differences in global survival or post-SLL were found&#44; even when there was residual disease following this surgery&#46; On completion of treatment&#44; we found recurrence in 41&#37; of patients had been disease free&#44; a level very similar to the 39&#37; found in the patients with negative SLL&#44; which demonstrates the high index of false negatives in this type of surgery&#46;</p>"
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