[Cancer of the ovary after cancer of the breast. 45 cases].
Forty-five patients who had primary cancer of the breast had a laparotomy when a second cancer appeared in the ovaries. There were no other peritoneal metastases to suggest that it was disseminated breast cancer. Twenty-eight had primary ovarian cancer and 17 metastases from breast cancer. The study comparing the two groups shows that: there are few clinical or paraclinical features that make it possible to arrive at a differential diagnosis; ovarian metastases occurring in patients who have primary breast cancer carry a more serious prognosis; if the cancer is a primary ovarian cancer (and not a secondary) the chances of survival are less poor; in primary ovarian cancer the results justify our attitude for carrying out surgery; screening systematically for ovarian involvement by using CA 125 or by routine ultrasound does not seem to us to be effective.
Le Thai
N
N
Centre René-Huguenin, Saint-Cloud.
Lasry
S
S
Brunet
M
M
Harvey
P
P
Rouesse
J
J
D000328:Adult; D015415:Biomarkers / Q000097:blood; D001943:Breast Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D002985:Clinical Protocols / Q000592:standards; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D010297:Paris / Q000453:epidemiology; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate
D015415:Biomarkers
Cancer de l'ovaire après cancer du sein. A propos de 45 cas.