Critical Analysis of Stage IV Epithelial Ovarian Cancer Patients after Treatment with Neoadjuvant Chemotherapy followed by Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (CRS/HIPEC)
Table 3
Relevant study population characteristics.
Patient ID
Primary tumor site
Highest FIGO stage
Staging
No. of NACT cycles
NACT response
No. of ASC cycles
Recurrence
Disease status
Time to recurrence (months)
Overall follow-up (months)
Clinical (cTNM)
Post-NACT and CRS/HIPEC (ypTNM)
Intracavitary
Lymph nodes
Distant
1
OV
IIIC
cT3c cN0 cM0
ypT3c ypN1 cM0
4
PD
2
—
R-iliac LN
—
DOD
13.75
24.61
2
PP
IVB
cT3c cN1 cM1b
ypT3c ypN1 cM1b
6
PD
NA
—
—
—
DOC
—
3.29
3
OV
IVA
cT3c cN1 pM1a
ypT3c ypN0 pM1a
3
Non-CR/non-PD
3
—
Portacaval LN
—
AWD
37.66
56.35
4
PP
IVA
cT3c cN1 pM1a
ypT3c ypN1 pM1a
4
Non-CR/non-PD
2
Loculated ascites, L-abdomen thickening
—
—
DOD
15.99
51.18
5
OV
IVA
cT3c cN0 pM1a
ypT3c ypN0 pM1a
3
PD
3
Pancreatic and L-abdomen implants
—
R-major and minor lung fissures thickening
DOD
7.93
20.43
6
OV
IIIC
cT3c cN0 cM0
ypT3b ypN0 cM0
3
Non-CR/non-PD
3
Mass adjacent to spleen, L-paramedian mass, L-external iliac nodule
—
—
DOD
12.43
45.63
7
OV
IVB
cT3c cN0 pM1a
ypT3c ypN1a pM1b
4
SD
4
Mesenteric and anterior abdominal wall nodules
L-external iliac LN
Hepatic metastases
AWD
18.13
45.16
8
PP
IIIC
cT3c cN0 cM0
ypT3c ypN0 cM0
3
PR
3
—
Para-aortic LN
Internal mammary LN
DOD
12.40
32.47
9
FT
IIIC
cT3c cN0 cM0
ypT3c ypN1 cM0
3
PR
3
Ascites and small peritoneal nodules
—
—
DOD
11.78
18.13
10
PP
IIIC
cT3c cN1 cM0
ypT0 ypN1a cM0
3
Non-CR/non-PD
3
Bilateral pelvic sidewall adenopathy
R-iliac and presacral LNs, L-para-aortic and retrocaval LNs
—
DOD
11.71
25.33
11
FT
IIIC
cT3c cN0 cM0
ypT3c ypN1a cM0
3
Non-CR/non-PD
3
Ascites and mesenteric enhancement
—
—
DOD
9.97
24.38
12
FT
IIIC
cT3c cN0 cM0
ypT3c ypN1a cM0
3
Non-CR/non-PD
3
—
Aortocaval, anterior aortic, L-para-aortic and aortic bifurcation LNs
—
AWD
10.86
34.24
13
FT
IVB
cT3c cN0 cM0
ypT3b ypN0 pM1b
3
CR
3
—
L-pelvic LN, LLQ and mid abdomen LNs
—
NED
19.14
33.06
14
FT
IVB
cT3c cN0 cM0
ypT3c ypN1a pM1b
4
PD
NA
—
—
R-pleural effusion, R-cardiophrenic and epicardial LN
DOD
6.71
33.09
15
FT
IIIC
cT3c cN0 cM0
ypT3c ypN0 cM0
3
SD
3
LUQ peritoneal nodule
—
L-epicardial LN
AWD
13.78
31.02
16
PP
IIIC
cT3c cN1 cM0
ypT3c ypN1 cM0
3
SD
NA
Presacral and perirectal densities, porta hepatis thickening, descending and sigmoid colon implants
R-pelvic LN, aortic bifurcation and anterior R-iliac LNs
Two small liver lesions
DOD
8.22
20.53
17
PP
IVB
cT3c cN0 cM1b
ypT3a ypN0 cM1b
4
PR
4
—
LN anterior to the 2nd portion of the dueodenum
—
NED
29.54
29.80
18
PP
IIIC
cT3c cN1 cM0
ypT3a ypN0 cM0
4
Non-CR/non-PD
3
—
—
—
NED
—
25.30
19
FT
IVB
cT3c cN0 cM0
ypT3c ypN1 pM1b
3
Non-CR/non-PD
3
—
—
—
NED
—
21.35
20
OV
IIIC
cT3c cN1 cM0
ypT3c ypN1a cM0
3
SD
3
Cecal thickening
Posterior aortic and aortocaval LNs, R-pelvic LN
—
AWD
9.57
22.83
21
OV
IIIC
cT3c cN0 cM0
ypT0 ypN0 cM0
4
CR
2
—
—
—
NED
—
22.07
22
OV
IVB
cT3c cN1 cM1b
ypT3c ypN1b pM1a
3
SD
3
—
Para-aortic and aortocaval LNs
L-supraclavicular LN
AWD
10.10
19.80
23
FT
IVB
cT3c cN1 cM0
ypT3c ypN0 pM1b
3
SD
3
Cecal and anterior pancreatic nodules
—
—
AWD
9.87
18.68
24
OV
IVB
cT3c cN1 cM1b
ypT2a ypN1a cM1b
3
PR
3
LUQ peritoneal nodules
L-iliac LN
—
AWD
11.55
18.39
25
FT
IVA
cT3c cN0 pM1a
ypT3c ypN1a pM1a
6
Non-CR/non-PD
NA
—
—
—
NED
—
13.13
26
FT
IVB
cT3c cN1 cM1b
ypT2b ypN0 pM1a
6
CR
NA
—
R-inguinal, R-para-aortic and multiple bilateral retroperitoneal LNs
L-supraclavicular, R-paratracheal, R-axillary, pretracheal and R-prehilar LNs
DOD
3.36
11.41
27
FT
IVB
cT3c cN1 pM1b
ypT3a ypN0 pM1b
6
CR
NA
—
Multiples retroperitoneal and pelvic LN
—
AWD
9.11
19.31
aAccording to the 8th edition of the American Joint Committee on Cancer TNM staging system, and baccording to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1; AWD: alive with disease, CC-Score: completeness of cytoreduction score, CR: complete response, DOC: dead of other cause, DOD: dead of disease, FT: fallopian tube, L: left, LNs: lymph nodes, LUQ: left upper quadrant, NA: not applicable, NACT: neoadjuvant systemic chemotherapy, NED: no evidence of disease, OV: ovarian, PD: progressive disease, PP: primary peritoneal, PR: partial response, R: right, and SD: stable disease