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@ARTICLE{TurzanskiFortner:276228,
author = {R. Turzanski-Fortner$^*$ and C. B. Trewin-Nybråten and T.
Paulsen and H. Langseth},
title = {{C}haracterization of ovarian cancer survival by histotype
and stage: {A} nationwide study in {N}orway.},
journal = {International journal of cancer},
volume = {153},
number = {5},
issn = {0020-7136},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2023-01037},
pages = {969-978},
year = {2023},
note = {#EA:C020# / 2023 Sep 1;153(5):969-978},
abstract = {Contemporary population-based data on ovarian cancer
survival using current subtype classifications and by
surgical status are sparse. We evaluated 1-, 3-, 5- and
7-year relative (and overall) survival, and excess hazards
in patients with borderline tumors or invasive epithelial
ovarian cancer diagnosed 2012 to 2021 in a nationwide
registry-based cohort in Norway. Outcomes were evaluated by
histotype, FIGO stage, cytoreduction surgery and residual
disease. Overall survival was evaluated for non-epithelial
ovarian cancer. Survival of women with borderline ovarian
tumors was excellent $(≥98.0\%$ 7-year relative survival).
Across all evaluated invasive epithelial ovarian cancer
histotypes, 7-year relative survival for cases diagnosed
with stages I or II disease was $≥78.3\%$ (stage II
high-grade serous). Survival for ovarian cancers diagnosed
at stage ≥III differed substantially by histotype and time
since diagnosis (eg, stage III, 5-year relative survival
from $27.7\%$ [carcinosarcomas] to $76.2\%$ [endometrioid]).
Overall survival for non-epithelial cases was good $(91.8\%$
5-year overall survival). Women diagnosed with stage III or
IV invasive epithelial ovarian cancer and with residual
disease following cytoreduction surgery had substantially
better survival than women not operated. These findings were
robust to restriction to women with high reported functional
status scores. Patterns for overall survival were similar to
those for relative survival. We observed relatively good
survival with early stage at diagnosis even for the high
grade serous histotype. Survival for patients diagnosed at
stage ≥III invasive epithelial ovarian cancer was poor for
all but endometrioid disease. There remains an urgent need
for strategies for risk reduction and earlier detection,
together with effective targeted treatments.},
keywords = {cytoreduction surgery (Other) / histotype (Other) / ovarian
cancer (Other) / stage (Other) / survival (Other)},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37226635},
doi = {10.1002/ijc.34576},
url = {https://inrepo02.dkfz.de/record/276228},
}