Evidence map›Paper›PMID 41131801›Full record

ArticleJournal of gynecologic oncology2026

Is restaging surgery quintessential in suspected early-stage epithelial ovarian cancer? An ancillary study of the Gynecologic Oncology Research Investigators coLLaborAtion study (GORILLA-3002).

Jung Chul Kim, Eun Jung Yang, A Jin Lee, Woo Yeon Hwang, Suk-Joon Chang, Hee Seung Kim, Namkyeong Kim, Tae Wook Kong, Eun Ji Lee, Joo-Hyuk Son and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of gynecologic oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Jung Chul KimDepartment of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-8979-6815
Eun Jung YangDepartment of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.ORCID 0000-0001-9826-3519
A Jin LeeDepartment of Obstetrics and Gynecology, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0001-5456-5195
Woo Yeon HwangDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0003-0231-8330
Suk-Joon ChangDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0002-0558-0038
Hee Seung KimDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0001-6876-8671
Namkyeong KimDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0001-6345-3603
Tae Wook KongDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0002-9007-565X
Eun Ji LeeDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-0251-8079
Joo-Hyuk SonDepartment of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.ORCID 0000-0002-3712-8409
Dong Hoon SuhDepartment of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.ORCID 0000-0002-4312-966X
Seung-Hyuk ShimDepartment of Obstetrics and Gynecology, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0001-8043-2257
Eun Ji NamDepartment of Obstetrics and Gynecology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. NAHMEJ6@yuhs.ac.ORCID 0000-0003-0189-3560

Funding

NRF 2023R1A2C1005239Severance Hospital Research Fund for Clinical Excellence C-2023-0027
6 · The paper itself

Abstract

objectiveTo assess the necessity of restaging surgery for patients with suspected International Federation of Gynecology and Obstetrics (FIGO) stage I-II epithelial ovarian cancer (EOC) following incomplete surgical staging.

methodsThis multicenter retrospective study evaluated patients with early-stage EOC referred for restaging. These patients were diagnosed with suspected FIGO stage I-II EOC between January 2007 and November 2022 after incomplete surgical staging, and no residual region was confirmed by radiological evaluation. Progression-free survival (PFS) and overall survival (OS) were examined.

resultsAmong the 173 patients included in the study, 56 were assigned to the no restaging surgery group, and 117 to the restaging surgery group. After restaging, 23 were upstaged to other main stage. However, PFS and OS were not significantly different between the groups, also, dividing the groups into 4 groups who underwent chemotherapy and those who did not also did not show significant differences. In multivariate analysis, histologic grade independently influenced PFS outcomes.

conclusionWhile restaging surgery resulted in upstaging in some patients, it was not associated with significant differences in PFS or OS in this retrospective analysis. However, the omission of any additional treatment warrants careful consideration and further discussion. Nevertheless, the observation that patients who did not undergo restaging surgery but received adjuvant chemotherapy did not show significantly different prognoses highlights the need for further research to establish appropriate treatment strategies tailored to diverse patient contexts.

Indexed as

Carcinoma, Ovarian EpithelialOvarian NeoplasmsAdultAgedChemotherapy, AdjuvantFemaleHumansMiddle AgedNeoplasm StagingProgression-Free SurvivalRetrospective StudiesOvarian NeoplasmsProgression-Free SurvivalReoperationSurvival Rate

Identifiers

PMID41131801
PMCPMC13009694

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Registered trials

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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.