Obstet Gynecol Sci.  2021 Sep;64(5):437-443. 10.5468/ogs.21093.

Hyperthermic intraperitoneal chemotherapy as consolidation treatment of advanced stage ovarian cancer

Affiliations
  • 1Department of Obstetrics and Gynecology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
  • 2Department of Obstetrics and Gynecology, Pusan National University Yangsan Hospital, Yangsan, Korea
  • 3Comprehensive Gynecologic Cancer Center, CHA Bundang Medical Center, CHA University, Seongnam, Korea

Abstract


Objective
To investigate the therapeutic efficacy of hyperthermic intraperitoneal chemotherapy (HIPEC) as consolidation treatment after completing first-line treatment in patients with advanced ovarian cancer.
Methods
A retrospective chart review was conducted on patients treated at the Comprehensive Gynecologic Cancer Center between January 2014 and 2019. Based on the inclusion criteria, 24 eligible patients who received HIPEC (paclitaxel 175 mg/m2, for 90 minutes, at 42°C) (HIPEC group) as consolidation treatment after terminating the adjuvant chemotherapy were identified. Another 24 patients who met the inclusion criteria and did not receive HIPEC were matched, representing the non-HIPEC group. Disease-free survival (DFS) and overall survival (OS) were examined between the two groups.
Results
The median DFS was 28.7 and 24.2 months in the HIPEC and non-HIPEC groups, respectively (P=0.688). The 3-year DFS rates in the HIPEC and non-HPEC groups were 39.5% and 32.6%, respectively. However, the median OS was not determined. The 5-year OS rates in the HIPEC and non-HIPEC groups were 86.2% and 81.3%, respectively (P=0.850). One patient developed grade 3 neutropenia. Other patients experienced mild adverse events after HIPEC.
Conclusion
This study suggests that consolidation HIPEC could not support the survival benefit after completing the first-line treatment for patients with advanced ovarian cancer, although no severe specific safety issues were found. Therefore, randomized trials evaluating consolidation HIPEC for the management of ovarian cancer are warranted.

Keyword

Ovarian neoplasm; Hyperthermic intraperitoneal chemotherapy; Intraperitoneal; Chemotherapy

Figure

  • Fig. 1. Disease-free survival curve for the patients either treated with consolidation hyperthermic intraperitoneal chemotherapy (HIPEC) or cytoreductive surgery (CRS) and intravenous (IV) chemotherapy (A). Overall survival curve for the patlents either treated with consolidation HIPEC or CRS and IV chemotherapy (B).


Cited by  1 articles

Comment on: hyperthermic intraperitoneal chemotherapy as consolidation treatment of advanced stage ovarian cancer
Shalini Venkatappa, Avir Sarkar
Obstet Gynecol Sci. 2022;65(1):103-104.    doi: 10.5468/ogs.21273.


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