Review Article

Brain Metastases from Ovarian Carcinoma

Table 1

Incidence of CNS metastases among ovarian carcinoma patients, interval between diagnosis of ovarian carcinoma and CNS metastases, survival after diagnosis of ovarian carcinoma, and survival after diagnosis of CNS metastases.

Author (year) [ref.]Study periodNumber of patients with OCNumber of patients with CNS metastases (%)Median Interval between diagnosis of OC and CNS metastases in months (range)Median survival after diagnosis of OC in months (range)Median survival after diagnosis of CNS metastases in months (range)

Mayer et al. (1978) [13]1973–1977NA626 (2–82)38 (8–85+)4.5 (2–33+)
Barker et al. (1981) [24]1969–19794304 (0.9)34 (11–72)37 (13–78)4 (0.2–8)
Budd et al. (1983) [25]1978–1980423 (7.1)19 (19–20)NANA
Larson et al. (1986) [20]1944–19844,45613 (0.29)NA265
Stein et al. (1986) [26]1979–19851105 (4.5)17 (16–43)28 (18–43)2 (1–11)
Dauplat et al. (1987) [27]1973–19832555 (1.96)25 (10–126)24 (11–135)1 (1–10)
Ziegler et al. (1987) [28]1983–1985NA511 (11–31)NA8 (1–9+)
Ross et al. (1988) [29]1980–19843427 (2)NA27 (12–52)6.5 (2–26)
Hardy and Harvey (1989) [30]1981–1984526 (11.6)28.5 (0–36)30 (3–126)4.5 (2–41+)
Piura et al. (1990) [31]1961–19882002 (1)22 (21–23)41.5 (40–43)19.5 (19–20)
Plaxe et al. (1990) [32]NANA628.5 (2–61)NA10 (2–24)
LeRoux et al. (1991) [33]1980–19891,31614 (1.1)14.5 (0–72)NA3 (0.1–36)
Rodriguez et al. (1992) [34]1977–199079516 (2)NANA9
Bruzzone et al. (1993) [35]1981–19894139 (2.2)19 (3–36)26 (10–81)8 (1–45)
Salvati and Cervani (1994) [36]1980–1988NA421 (10–26)NA28 (17–48)
Geisler and Geisler (1995) [37]1979–1992 479 16 (3.3) 19 (2–41) NA 3 (1–24)
Cormio et al. (1995) [38] 1982–1994 NA 23 35 (5–114) 42 (8–133) 5 (1–24)
Suzuki et al. (1999) [39] 1982–1998 311 4 (1.3) NA NA NA
Zhao et al. (1999) [40] 1989–1997 132 4 (3%) NA NA 10 (2–19+)
Kaminsky-Forrett et al. (2000) [41] 1974–1998 704 8 (1.1) 15 (2–80) NA 3 (1–12)
Sanderson et al. (2002) [42] 1995–2000 1,222 13 (1.1) 36 (6–60) NA 6 (2–42+)
Anupol et al. (2002) [43] 1986–2000 1,042 15 (1.4) 22 (0–53) 38 (9–82) 6 (0–49)
Kolomainen et al. (2002) [21] 1980–2000 3,690 18 (0.5) 46 (12–113) NA 7 (1–41)
Pothuri et al. (2002) [44] 1989–2001 NA 14 42 (15.6–98.4) NA 18 (0.5–32.8)
Kumar et al. (2003) [45] 1991–2001 658 18 (2.7) 29 (0–101) 30.5 (5–110) 4 (1–74)
Li and Fu (2003) [46] 1996–2000 478 10 (2.1) NA NA 6.3 (<1–33)
Cohen et al. (2004) [47] 1975–2001 8,225 72 (0.9) 22 (0–219) 40.5 (95% CI, 21.5–60) 6.3 (95% CI, 5–8)
Tay and Rajesh (2005) [48] 1993–2003 605 4 (0.66) 16.5 (8–65) NA 19.5
Pectasides et al. (2005) [49] 1983–2004 1,450 17 (1.17) 15.9 (1.4–70.8) 27.4 (3–71.4) 5.7 (0.2–22.6)
D’Andrea et al. (2005) [50] 1980–2000 NA 11 21 NA 28
Chen et al. (2005) [51] 1985–2002 NA 19 25.2 (−0.6–112) NA 16.3 (0.2–111.5)
Kastritis et al. (2006) [52] 1995–2004 267 8 (3) 17.2 67 (95% CI, 48–85) 22 (95% CI, 12–34)
Kim et al. (2007) [53] 1996–2005 490 13 (2.7) 28 (13–99) NA 7 (0–30)
Ogawa et al. (2008) [6] 1985–2006 335 7 (2.1) NA NA 7.3 (0.9–48.2)
Lee et al. (2008) [54] 1983–2005 1,413 18 (1.3) 28 (8–71) NA 14 (1–63)
Sehouli et al. (2010) [55] 1981–2008 4,277 74 (1.7) 28.8 (2.6–133.1) 36.2 (95% CI, 33.3–39.1) 6.2 (95% CI, 4.9–7.5)
Chen et al. (2011) [22] 2000–2007 539 10 (1.9) 24.3 (7–55) NA 3 (0–16)
Cormio et al. (2011) [56] 1995–2010 NA 20 33 (3–70) NA 17.6 (0–59)

Total 34,728a 521b 413c (1.19) 24.3 (11–46)d 33.3 (24–67)d 6.4 (1–28)d

CNS: central nervous system; OC: ovarian carcinoma; NA: not available.
aThis number represents the total number of patients with ovarian carcinoma in 29 series in which the number of ovarian carcinoma patients is available.
bThis number represents the total number of patients with brain metastases from ovarian carcinoma in all 38 series reviewed.
cThis number represents the total number (percentage) of patients with brain metastases from ovarian carcinoma in 29 series in which the number of ovarian carcinoma patients is available.
dMedian (range) of the medians. Interval between diagnosis of ovarian carcinoma and brain metastases was available in 31 series totaling 460 patients. Survival after diagnosis of ovarian carcinoma was available in 16 series totaling 236 patients. Survival after diagnosis of brain metastases was available in 36 series totaling 513 patients.