1991 Volume 43 Issue 1 Pages 28-32
Diagnostic second-look operations were performed on 45 patients with primary epithelial ovarian cancer, and the diagnostic value of the operation was evaluated by multivariate analysis (JUSE-QCAS/ MA1 program). Sufficient chemotherapy was administered prior to the second-look operation to 26 of 45 patients. The finding “recurrent tumor” was the criterion variable. The following findings appeared to be predictor variables : “age”, “clinical stage”, “histological type”, “chemotherapy”, “residual tumor after primary operation”, “findings of the second-look operation”, “lymph node metastasis”, “amount of ascitic fluid”, and “peritoneal dissemination”. The data showed that the findings at the time of the second-look operation after chemotherapy could not provide more useful informations than the clinical stage, in evaluating the prognosis. Second-look operations were of diagnostic value only in stage III ovarian cancer. It is advised that the operation must be performed only in cases without apparent relapse.
