Factors Predictive of Improved Survival in Patients With Brain Metastases From Gynecologic Cancer: A Single Institution Retrospective Study of 47 Cases and Review of the Literature

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Gregory M GresselShari Damast

Abstract

The reported incidence of brain metastasis from epithelial ovarian cancer (EOC), endometrial cancer (EC), and cervical cancer (CC) is exceedingly rare. As the long-term survival for patients with gynecologic cancer increases, there has been a corresponding increase in the number of diagnosed intracranial metastases. We seek to report our experience with managing brain metastatic disease (BMD) in patients with gynecologic cancer. A retrospective review of all patients with EOC, EC, and CC at our institution revealed 47 patients with concurrent BMD between 2000 and 2013. Demographic data, risk factors, treatment modalities, progression-free data, and overall survival data were collected. Median survival time in patients with brain metastasis from EOC, EC, and CC was 9.0, 4.5, and 3.0 months, respectively. Two-year overall survival rates were 31.6%, 13.6%, and 0%, respectively. Patients received surgery, radiation therapy alone, palliative care, or radiation plus surgery. Radiation combined with surgical resection resulted in a significant hazards ratio of 0.36 (95% confidence interval, 0.15-0.86), compared with radiation alone. Our report provides a large single-institution experience of brain metastases from gynecologic cancer. ...Continue Reading

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Citations

Feb 12, 2017·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Dirk RadesSteven E Schild
Dec 17, 2016·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Gunsu KimyonMehmet Faruk Kose
May 31, 2018·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Robert RomeSam Leung
Sep 5, 2017·Surgical Neurology International·Kaleigh FetckoMahua Dey
Apr 3, 2020·American Journal of Clinical Oncology·Dimitrios NasioudisNawar A Latif
Oct 5, 2019·Surgical Neurology International·Ariel TakayanagiOmid S Tehrani
Nov 6, 2018·Case Reports in Obstetrics and Gynecology·Yasuyuki KawagoeHiroshi Sameshima
Dec 7, 2019·BMC Cancer·Alexandre André Balieiro Anastácio da CostaGlauco Baiocchi
Dec 16, 2020·World Neurosurgery·Hriday P BhambhvaniMelanie Hayden Gephart
Apr 10, 2019·Gynecologic Oncology Reports·Marisa R MoroneyBradley R Corr
Feb 13, 2021·Cancers·Mayumi Kobayashi KatoTomoyasu Kato

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Methods Mentioned

BETA
surgical resection

Software Mentioned

SAS

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