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Erschienen in: Archives of Gynecology and Obstetrics 2/2023

03.02.2023 | Gynecologic Oncology

Management of patients with advanced epithelial ovarian cancer: a European survey

verfasst von: Floriane Jochum, Martina Aida Angeles, Vincent Balaya, Leonor Drouin, Tanja Nikolova, Patrice Mathevet, Fabrice Lécuru, Henri Azais, Sarah Betrian, Pierre-Adrien Bolze, Yohann Dabi, Yohan Kerbage, Claire Sanson, François Zaccarini, Fréderic Guyon, Cherif Akladios, Arthur Hsu, Sofiane Bendifallah, Elise Deluche, Benedetta Guani

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 2/2023

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Abstract

Background

The aim of this study was to assess current European practices in the management of patients with advanced epithelial ovarian cancer in 2021.

Methods

A 58-question electronic survey was distributed anonymously to the members of six European learned societies. Initial diagnostic workup and staging, pathological data, surgical data, treatments and follow-up strategies were assessed.

Results

A total of 171 participants from 17 European countries responded to emailed surveys. Most participants were experienced practitioners (superior than 15 years of experience) specializing in gynecology-obstetrics (29.8%), surgical oncology (25.1%), and oncogynecology (21.6%). According to most (64.8%) participants, less than 50% of patients were eligible for primary debulking surgery. Variations in the rate of primary debulking surgery depending on the country of origin of the practitioners were observed in this study. The LION study criteria were applied in 70.4% of cases during PDS and 27.1% after chemotherapy. In cases of BRCA1-2 mutations, olaparib was given by 75.0–84.8% of respondents, whereas niraparib was given in cases of BRCA wild-type diseases.

Conclusions

This study sheds light on current practices and attitudes regarding the management of patients with advanced epithelial ovarian cancer in Europe in 2021.
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Literatur
2.
Zurück zum Zitat Pavlidis N, Rassy E, Vermorken JB, Assi T, Kattan J, Boussios S, Smith-Gagen J (2021) The outcome of patients with serous papillary peritoneal cancer, fallopian tube cancer, and epithelial ovarian cancer by treatment Eras: 27 years data from the SEER registry. Cancer Epidemiol 75:102045CrossRefPubMed Pavlidis N, Rassy E, Vermorken JB, Assi T, Kattan J, Boussios S, Smith-Gagen J (2021) The outcome of patients with serous papillary peritoneal cancer, fallopian tube cancer, and epithelial ovarian cancer by treatment Eras: 27 years data from the SEER registry. Cancer Epidemiol 75:102045CrossRefPubMed
3.
Zurück zum Zitat Colombo N, Sessa C, du Bois A, Ledermann J, McCluggage WG, McNeish I, Morice P, Pignata S, Ray-Coquard I, Vergote I et al (2019) ESMO-ESGO consensus conference recommendations on ovarian cancer: pathology and molecular biology, early and advanced stages, borderline tumours and recurrent disease†. Ann Oncol 30:672–705. https://doi.org/10.1093/annonc/mdz062CrossRefPubMed Colombo N, Sessa C, du Bois A, Ledermann J, McCluggage WG, McNeish I, Morice P, Pignata S, Ray-Coquard I, Vergote I et al (2019) ESMO-ESGO consensus conference recommendations on ovarian cancer: pathology and molecular biology, early and advanced stages, borderline tumours and recurrent disease†. Ann Oncol 30:672–705. https://​doi.​org/​10.​1093/​annonc/​mdz062CrossRefPubMed
6.
Zurück zum Zitat Moschetta M, Boussios S, Rassy E, Samartzis EP, Funingana G, Uccello M (2020) Neoadjuvant treatment for newly diagnosed advanced ovarian cancer: where do we stand and where are we going? Ann Transl Med 8:1710CrossRefPubMedPubMedCentral Moschetta M, Boussios S, Rassy E, Samartzis EP, Funingana G, Uccello M (2020) Neoadjuvant treatment for newly diagnosed advanced ovarian cancer: where do we stand and where are we going? Ann Transl Med 8:1710CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat van Driel WJ, Koole SN, Sikorska K, Schagen van Leeuwen JH, Schreuder HWR, Hermans RHM, de Hingh IHJT, van der Velden J, Arts HJ, Massuger LFAG et al (2018) Hyperthermic intraperitoneal chemotherapy in ovarian cancer. New England J Med 378:230–240. https://doi.org/10.1056/NEJMoa1708618CrossRef van Driel WJ, Koole SN, Sikorska K, Schagen van Leeuwen JH, Schreuder HWR, Hermans RHM, de Hingh IHJT, van der Velden J, Arts HJ, Massuger LFAG et al (2018) Hyperthermic intraperitoneal chemotherapy in ovarian cancer. New England J Med 378:230–240. https://​doi.​org/​10.​1056/​NEJMoa1708618CrossRef
8.
Zurück zum Zitat Fagotti A, Ferrandina MG, Vizzielli G, Pasciuto T, Fanfani F, Gallotta V, Margariti PA, Chiantera V, Costantini B, Alletti SG et al (2020) Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850). Int J Gynecol Cancer. https://doi.org/10.1136/ijgc-2020-001640 Fagotti A, Ferrandina MG, Vizzielli G, Pasciuto T, Fanfani F, Gallotta V, Margariti PA, Chiantera V, Costantini B, Alletti SG et al (2020) Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850). Int J Gynecol Cancer. https://​doi.​org/​10.​1136/​ijgc-2020-001640
12.
13.
16.
Zurück zum Zitat Fagotti A, Ferrandina MG, Vizzielli G, Pasciuto T, Fanfani F, Gallotta V, Margariti PA, Chiantera V, Costantini B, Gueli Alletti S et al (2020) Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850). Int J Gynecol Cancer 30:1657–1664. https://doi.org/10.1136/ijgc-2020-001640CrossRefPubMed Fagotti A, Ferrandina MG, Vizzielli G, Pasciuto T, Fanfani F, Gallotta V, Margariti PA, Chiantera V, Costantini B, Gueli Alletti S et al (2020) Randomized trial of primary debulking surgery versus neoadjuvant chemotherapy for advanced epithelial ovarian cancer (SCORPION-NCT01461850). Int J Gynecol Cancer 30:1657–1664. https://​doi.​org/​10.​1136/​ijgc-2020-001640CrossRefPubMed
18.
20.
Zurück zum Zitat Vergote I, Coens C, Nankivell M, Kristensen GB, Parmar MKB, Ehlen T, Jayson GC, Johnson N, Swart AM, Verheijen R et al (2018) Neoadjuvant chemotherapy versus debulking surgery in advanced tubo-ovarian cancers: pooled analysis of individual patient data from the EORTC 55971 and CHORUS trials. Lancet Oncol 19:1680–1687. https://doi.org/10.1016/S1470-2045(18)30566-7CrossRefPubMed Vergote I, Coens C, Nankivell M, Kristensen GB, Parmar MKB, Ehlen T, Jayson GC, Johnson N, Swart AM, Verheijen R et al (2018) Neoadjuvant chemotherapy versus debulking surgery in advanced tubo-ovarian cancers: pooled analysis of individual patient data from the EORTC 55971 and CHORUS trials. Lancet Oncol 19:1680–1687. https://​doi.​org/​10.​1016/​S1470-2045(18)30566-7CrossRefPubMed
28.
Zurück zum Zitat Alejandra M, Gertych W, Pomel C, Ferron G, Lusque A, Angeles MA, Lambaudie E, Rouzier R, Bakrin N, Golfier F et al (2021) Adherence to French and ESGO quality indicators in ovarian cancer surgery: an ad-hoc analysis from the prospective multicentric CURSOC study. Cancers (Basel) 13:1593. https://doi.org/10.3390/cancers13071593CrossRefPubMed Alejandra M, Gertych W, Pomel C, Ferron G, Lusque A, Angeles MA, Lambaudie E, Rouzier R, Bakrin N, Golfier F et al (2021) Adherence to French and ESGO quality indicators in ovarian cancer surgery: an ad-hoc analysis from the prospective multicentric CURSOC study. Cancers (Basel) 13:1593. https://​doi.​org/​10.​3390/​cancers13071593CrossRefPubMed
32.
Zurück zum Zitat du Bois A, Reuss A, Harter P, Pujade-Lauraine E, Ray-Coquard I, Pfisterer J (2010) Arbeitsgemeinschaft gynaekologische onkologie studiengruppe ovarialkarzinom; groupe d’investigateurs nationaux pour l’etude des cancers ovariens potential role of lymphadenectomy in advanced ovarian cancer: a combined exploratory analysis of three prospectively randomized phase III multicenter trials. J Clin Oncol 28:1733–1739. https://doi.org/10.1200/JCO.2009.25.3617CrossRefPubMed du Bois A, Reuss A, Harter P, Pujade-Lauraine E, Ray-Coquard I, Pfisterer J (2010) Arbeitsgemeinschaft gynaekologische onkologie studiengruppe ovarialkarzinom; groupe d’investigateurs nationaux pour l’etude des cancers ovariens potential role of lymphadenectomy in advanced ovarian cancer: a combined exploratory analysis of three prospectively randomized phase III multicenter trials. J Clin Oncol 28:1733–1739. https://​doi.​org/​10.​1200/​JCO.​2009.​25.​3617CrossRefPubMed
34.
Zurück zum Zitat Panici PB, Maggioni A, Hacker N, Landoni F, Ackermann S, Campagnutta E, Tamussino K, Winter R, Pellegrino A, Greggi S et al (2005) Systematic aortic and pelvic lymphadenectomy versus resection of bulky nodes only in optimally debulked advanced ovarian cancer: a randomized clinical trial. J Natl Cancer Inst 97:560–566. https://doi.org/10.1093/jnci/dji102CrossRefPubMed Panici PB, Maggioni A, Hacker N, Landoni F, Ackermann S, Campagnutta E, Tamussino K, Winter R, Pellegrino A, Greggi S et al (2005) Systematic aortic and pelvic lymphadenectomy versus resection of bulky nodes only in optimally debulked advanced ovarian cancer: a randomized clinical trial. J Natl Cancer Inst 97:560–566. https://​doi.​org/​10.​1093/​jnci/​dji102CrossRefPubMed
36.
Zurück zum Zitat Morgan RJ, Alvarez RD, Armstrong DK, Burger RA, Chen LM, Copeland L;, et al (2013) NCCN clinical practice guidelines in oncology (NCCN Guidelines). Ovarian Cancer Incl Fallopian Tube Cancer Prim Peritoneal Cancer. 11:1199–1209 Morgan RJ, Alvarez RD, Armstrong DK, Burger RA, Chen LM, Copeland L;, et al (2013) NCCN clinical practice guidelines in oncology (NCCN Guidelines). Ovarian Cancer Incl Fallopian Tube Cancer Prim Peritoneal Cancer. 11:1199–1209
39.
Zurück zum Zitat Ghose A, Gullapalli SVN, Chohan N, Bolina A, Moschetta M, Rassy E, Boussios S (2022) Applications of proteomics in ovarian cancer: dawn of a new era. Proteomes 10:16CrossRefPubMedPubMedCentral Ghose A, Gullapalli SVN, Chohan N, Bolina A, Moschetta M, Rassy E, Boussios S (2022) Applications of proteomics in ovarian cancer: dawn of a new era. Proteomes 10:16CrossRefPubMedPubMedCentral
40.
41.
Zurück zum Zitat Shah S, Cheung A, Kutka M, Sheriff M, Boussios S (2022) Epithelial ovarian cancer: providing evidence of predisposition genes. Int J Environ Res Public Health 19:8113CrossRefPubMedPubMedCentral Shah S, Cheung A, Kutka M, Sheriff M, Boussios S (2022) Epithelial ovarian cancer: providing evidence of predisposition genes. Int J Environ Res Public Health 19:8113CrossRefPubMedPubMedCentral
44.
Zurück zum Zitat Boussios S, Rassy E, Shah S, Ioannidou E, Sheriff M, Pavlidis N (2021) Aberrations of DNA repair pathways in prostate cancer: a cornerstone of precision oncology. Expert Opin Ther Targets 25:329–333CrossRefPubMed Boussios S, Rassy E, Shah S, Ioannidou E, Sheriff M, Pavlidis N (2021) Aberrations of DNA repair pathways in prostate cancer: a cornerstone of precision oncology. Expert Opin Ther Targets 25:329–333CrossRefPubMed
Metadaten
Titel
Management of patients with advanced epithelial ovarian cancer: a European survey
verfasst von
Floriane Jochum
Martina Aida Angeles
Vincent Balaya
Leonor Drouin
Tanja Nikolova
Patrice Mathevet
Fabrice Lécuru
Henri Azais
Sarah Betrian
Pierre-Adrien Bolze
Yohann Dabi
Yohan Kerbage
Claire Sanson
François Zaccarini
Fréderic Guyon
Cherif Akladios
Arthur Hsu
Sofiane Bendifallah
Elise Deluche
Benedetta Guani
Publikationsdatum
03.02.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 2/2023
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-023-06948-3

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