EP815 Ultrasound-based score for predicting debulking surgery outcome in IIB-IV stage epithelial ovarian cancer

摘要: Introduction/Background To develop an ultrasound-based score for predicting debulking surgery outcome in advanced stage ovarian cancer. Methodology Retrospective analysis of data from a prospective cohort study comprising 65 women (mean age: 59 y.o.) with surgically confirmed IIB–IV epithelial cancer and ECOG status performance 0–2. All had undergone transabdominal transvaginal ultrasound evaluation assessing disease spread prior to surgery. 12 anatomical areas were evaluated the presence/absence (recto-sigma involvement, carcinomatosis pelvic peritoneum, major omentum, upper abdomen root mesentery, lymph nodes, aorto-cava lesser liver, spleen, hepatic hilum ascites). included underwent at our institution (diagnostic laparoscopy followed by upfront if patient deemed adequate optimal (R Parameter Score CA-125 >500 1. Bowel Mesogastrium Major omentum Pelvic nodes Root mesentery 2. Liver parenchyma Spleen Para-aortic Hepatic hilium Results Cytoreduction was complete or 51 patients (78.5%), suboptimal 3 (4.6%) discarded 11 (16.9%). A >3 predicted correctly 44 out (86%) complete/optimal cytoreduction 8 14 (57%) those non-cytoreduction AUC 0.76, correct prediction 80% all cases. Conclusion Albeit series is small, developed has good surgical results Disclosure Nothing disclose.