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WALTON LESLIE MD; ELLENBERG, SUSAN S. PhD; MAJOR, FRANCIS MD; MILLER, ALEX MD; PARK, ROBERT MD; YOUNG, ROBERT C. MD
Obstetrics & Gynecology: November 1987
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One hundred twelve patients with early (FIGO stage I and II) ovarian carcinoma had a second-look laparotomy performed after comprehensive surgical staging and randomization into clinical protocols. Of the 95 patients who were asymptomatic before second-look laparotomy, only 5% had positive findings. In contrast, 53% of the 17 patients with findings that suggested recurrence or bowel obstruction had disease at second-look laparotomy. Overall, only 13% of the entire group of 112 patients had recurrent disease at second-look laparotomy. Asymptomatic patients with early ovarian carcinoma who have undergone careful initial surgical staging followed by appropriate adjuvant therapy can be spared a routine second-look operation.

© 1987 The American College of Obstetricians and Gynecologists