Tumor Institute between 1947 and 1974. Twenty-six of these patients had their initial surgery at the M. D. Anderson Hospital or were referred to the M. D. Anderson Hospital shortly after surgery at another hospital. The remaining 10 were referred after developing a recurrence of their tumor. Five of
Pure dysgerminoma of the ovary in childhood: Treatment results and sequelae
✍ Scribed by Teinturier, C. ;Gelez, J. ;Flamant, F. ;Habrand, J. L. ;Lemerle, J.
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 567 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0098-1532
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✦ Synopsis
Abstract
Thirty‐five children with pure dysgerminoma of the ovary were all treated at the Institut Gustave Roussy (IGR) from 1956–1985. The median follow‐up is 8.5 years. The crude 5‐year survival rate is 94.1% (±4.1). The disease‐free 5‐year survival rate is 81.8% (±6.7). Fourteen patients who had stage I disease were treated by unilateral salpingooophorectomy and prophylactic radiotherapy (20 Gy) to ipsilateral iliac, lumbar‐aortic, and subclavicular lymph nodes. All are alive without sequelae. Eighteen patients with stage II and III disease were treated by surgery and radiotherapy (30–40 Gy) to the tumor volume. All are alive but radio‐induced sequelae are severe. Five relapses of stage I, II, and III tumors occurred and were cured by a second line treatment. Two of the three patients with stage IV disease died.
Four patients received a cisplatinum‐containing regimen for disseminated disease or because of a relapse before radiotherapy. Three achieved a complete response of measurable tumor. Given the high efficacy of this kind of chemotherapy and the severe sequelae induced by abdomino‐pelvic irradiation, we propose initial chemotherapy for widespread disease andd radiotherapy in the event of residual tumor. © 1994 Wiley‐Liss, Inc.
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