PMID- 19615725 OWN - NLM STAT- MEDLINE DCOM- 20090907 LR - 20180720 IS - 1095-6859 (Electronic) IS - 0090-8258 (Linking) VI - 115 IP - 1 DP - 2009 Oct TI - Primary fallopian tube carcinoma: results of a retrospective analysis of 64 patients. PG - 97-101 LID - S0090-8258(09)00474-0 [pii] LID - 10.1016/j.ygyno.2009.06.025 [doi] AB - OBJECTIVE: The objective of this retrospective study was to determine the clinical outcomes of patients with primary fallopian tube carcinoma (PFTC) treated with paclitaxel and platinum analogue-based combination chemotherapy following primary cytoreductive surgery. METHODS: Sixty-four patients with the diagnosis of PFTC were identified through the gynecology service database and the tumor registry of 4 different institutions. The majority of patients (48/64, 75%) were treated with carboplatin AUC (area under curve) 6 and paclitaxel 175 mg/m(2) as a 3 h infusion. RESULTS: Among 28 patients with measurable disease, we observed 19 (68%) complete clinical and 7 (25%) partial responses for an overall response rate of 93%. After a median follow-up of 40 months (3+-134+ months), the 5-year survival rate of the entire population was 70% (median overall survival [mOS] not reached) and the median time to tumor progression (mTTP) was 81 months (95% CI: 53-109). Stage and residual disease were of prognostic significance. The mTTP was not reached in patients with stage I/II and was 38 months for patients with stage III/IV (p=0.004). The mOS for patients with stage I/II was not reached, whereas it was 62 months for those with stage III/IV (p=0.057). The mTTP was 86 and 23 months for patients with residual disease <2 cm and >2 cm, respectively (p<0.001). The mOS was not reached for patients with residual disease <2 cm, while it was 36 months for residual disease >2 cm (p<0.001). CONCLUSION: Optimally cytoreduced patients with PFTC treated with platinum and paclitaxel-based chemotherapy regimen have an excellent possibility of survival. FAU - Pectasides, D AU - Pectasides D AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. FAU - Pectasides, E AU - Pectasides E AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. Electronic address: pectasid@otenet.gr. FAU - Papaxoinis, G AU - Papaxoinis G AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. FAU - Andreadis, C AU - Andreadis C AD - Department of Medical Oncology, Theagenion Cancer Hospital, Thessaloniki, Greece. FAU - Papatsibas, G AU - Papatsibas G AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. FAU - Fountzilas, G AU - Fountzilas G AD - Department of Medical Oncology, "Papageorgiou" Hospital, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece. FAU - Pliarchopoulou, K AU - Pliarchopoulou K AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. FAU - Macheras, A AU - Macheras A AD - 3rd Department of Surgery, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. FAU - Aravantinos, G AU - Aravantinos G AD - 3rd Department of Medical Oncology, Agii Anargiri Cancer Hospital, Athens, Greece. FAU - Economopoulos, T AU - Economopoulos T AD - 2nd Department of Internal Medicine, Propaedeutic, Oncology Section, University of Athens, "Attikon" University Hospital, Haidari, 1 Rimini, Athens, Greece. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20090716 PL - United States TA - Gynecol Oncol JT - Gynecologic oncology JID - 0365304 RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - BG3F62OND5 (Carboplatin) RN - P88XT4IS4D (Paclitaxel) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Carboplatin/administration & dosage MH - Cisplatin/administration & dosage MH - Cyclophosphamide/administration & dosage MH - Disease-Free Survival MH - Doxorubicin/administration & dosage MH - Fallopian Tube Neoplasms/*drug therapy/pathology/*surgery MH - Female MH - Humans MH - Middle Aged MH - Neoplasm Staging MH - Paclitaxel/administration & dosage MH - Retrospective Studies MH - Treatment Outcome EDAT- 2009/07/21 09:00 MHDA- 2009/09/08 06:00 CRDT- 2009/07/21 09:00 PHST- 2009/05/21 00:00 [received] PHST- 2009/06/14 00:00 [revised] PHST- 2009/06/17 00:00 [accepted] PHST- 2009/07/21 09:00 [entrez] PHST- 2009/07/21 09:00 [pubmed] PHST- 2009/09/08 06:00 [medline] AID - S0090-8258(09)00474-0 [pii] AID - 10.1016/j.ygyno.2009.06.025 [doi] PST - ppublish SO - Gynecol Oncol. 2009 Oct;115(1):97-101. doi: 10.1016/j.ygyno.2009.06.025. Epub 2009 Jul 16.