A Survivor of More than 10 Years with Stage 3c Ovarian Carcinoma who Received Recurrent Tumor Resection 4 Times

Abstract

Radical surgery, followed by chemotherapy using paclitaxel and carboplatin (TC) therapy, was performed on a patient with Stage Ⅲc ovarian carcinoma as primary treatment. The first recurrent tumor was developed in the cerebellum 1 year and 10 months after primary treatment. The patient received surgery and adjuvant irradiation. The second recurrent tumor was detected in a field of right obturator lymph node 3 years after previous treatment. The patient received surgical resection of the tumor and 5 cycles of TC therapy after the resection. One year after the last chemotherapy, the third recurrent tumor appeared in the same field as the second recurrence. The patient received re-resection, TC therapy before and after re-resection, and 56 Gy of focused irradiation. The 4^th, solitary, recurrent tumor grew in the right paracolic sulcus 1 year and 9 months after last treatment. The patient underwent 2 courses of chemotherapy before tumor resection, a 4^th surgical resection of the recurrent tumor, and 3 courses of chemotherapy after surgery. She lives with no evidence of disease 10 years 5 months after primary treatment (1 year after the 4^th surgery of the recurrent tumor).