Evidence map›Paper›PMID 29533021›Full record

ArticleJournal of gynecologic oncology2018

Retrospective analysis of sites of recurrence in stage I epithelial ovarian cancer.

Sou Hirose, Hiroshi Tanabe, Youko Nagayoshi, Yukihiro Hirata, Chikage Narui, Kazuhiko Ochiai, Seiji Isonishi, Hirokuni Takano, Aikou Okamoto

Open access · diamondAbstract read
In one paragraph

Article in Journal of gynecologic oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Effects of Clinical Covariates on Serum miRNA Expression among Women without Ovarian Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Sou HiroseDepartment of Obstetrics and Gynecology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.ORCID https://orcid.org/0000-0002-2803-0557
Hiroshi TanabeDepartment of Obstetrics and Gynecology, The Jikei University Kashiwa Hospital, Kashiwa, Japan. htanabe@jikei.ac.jp.ORCID https://orcid.org/0000-0002-1301-719X
Youko NagayoshiDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3729-2011
Yukihiro HirataDepartment of Obstetrics and Gynecology, The Jikei University Katsushika Medical Center, Tokyo, Japan.
Chikage NaruiDepartment of Obstetrics and Gynecology, The Jikei University Daisan Hospital, Tokyo, Japan.
Kazuhiko OchiaiDepartment of Obstetrics and Gynecology, The Jikei University Katsushika Medical Center, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8264-5405
Seiji IsonishiDepartment of Obstetrics and Gynecology, The Jikei University Daisan Hospital, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7841-9782
Hirokuni TakanoDepartment of Obstetrics and Gynecology, The Jikei University Kashiwa Hospital, Kashiwa, Japan.ORCID https://orcid.org/0000-0002-6465-7883
Aikou OkamotoDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-5079-0464
Jikei University Kashiwa hospital · JPJikei University School of Medicine · JPKatsushika Medical Center · JPThe Jikei University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study is to investigate recurrence of stage I epithelial ovarian cancer.

methodsSix hundred two patients diagnosed with stage I epithelial ovarian cancer at 4 hospitals between 2000 and 2013 were retrospectively analyzed. Age, surgical procedure, substage, histologic type, adjuvant chemotherapy, recurrence, initial recurrence site (peritoneal dissemination [P], hematogenous recurrence [H], lymphogenous recurrence [L], and others [O]), and frequency of recurrence at each site were investigated retrospectively.

resultsMedian age was 54 years and median follow-up was 60 months. The stage was IA in 180 cases (30%), IB in 8 (1%), IC1 in 247 (41%), IC2 in 63 (10%), and IC3 in 104 (17%). Systematic lymph node dissection including both pelvic and para-aortic lymph nodes was performed in 224 patients (37%), and 412 patients (68%) received adjuvant chemotherapy. Recurrence occurred in 70 patients (11.6%). The median time to recurrence was 18 months, and the stage was IA in 13 (19%), IB in 1 (1%), IC1 in 24 (34%), IC2 in 9 (13%), and IC3 in 23 (33%) cases. The numbers of recurrence at the P, H, L, and O sites, including overlapping cases, were 49 (70%), 18 (26%), 9 (13%), and 6 (9%), respectively, and recurrence by peritoneal dissemination in the pelvis occurred in 43 cases (61%).

conclusionRecurrence of stage I epithelial ovarian cancer by peritoneal dissemination was frequent, especially in the pelvis. There is a need to elucidate the pathogenesis of peritoneal recurrence and to prepare a treatment strategy to prevent pelvic peritoneal recurrence.

Indexed as

AdolescentAdultAgedAged, 80 and overCarcinoma, Ovarian EpithelialCombined Modality TherapyFemaleHumansLymph Node ExcisionMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingOvarian NeoplasmsPeritoneumRetrospective StudiesYoung AdultNeoplasm MetastasisNeoplasm SeedingOvarian NeoplasmsRecurrence

Identifiers

PMID29533021
PMCPMC5920221
OpenAlexW2785826915

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.