title: Evaluation of restaging in clinical stage 1A low malignant potential ovarian tumours.
abstract: OBJECTIVE
  This study was undertaken to evaluate whether restaging clinical stage 1A low malignant potential (LMP) tumours previously incompletely staged in a non-gynaecology oncology centre yields useful information for management and prognosis.
  
  
  METHODS
  A retrospective chart review was undertaken of all patients with LMP tumours treated at the Queensland Centre for Gynaecological Cancer (QCGC) from 1982-2000.
  
  
  RESULTS
  Fifty-six (69%) of the 81 patients referred with a provisional stage 1A diagnosis underwent a second operation for staging purposes. Four (7%) out of the 56 patients who underwent restaging had their tumours upstaged. A single patient out of the 25 patients who did not undergo restaging had disease recurrence and died as a result. The mean follow-up for all patients in the study was 60 months.
  
  
  CONCLUSIONS
  It is hard to justify routine surgical restaging for patients with a LMP ovarian tumour apparently confined to a single ovary At the very least, hundreds of patients with clinical stage 1A tumours will need to be restaged before a single patient will have data that will change management. Consequently the morbidity of routine restaging is difficult to justify for such a small clinical gain.
authors.affiliation: Queensland Centre for Gynaecological Cancer, Royal Women's Hospital, Brisbane, Australia.
authors.forename: Russell
authors.initials: R
authors.lastname: Land
authors.forename: Lew
authors.initials: L
authors.lastname: Perrin
authors.forename: James
authors.initials: J
authors.lastname: Nicklin
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000473:pathology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D018283:Cystadenocarcinoma, Papillary / Q000473:pathology*; D005260:Female; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D009367:Neoplasm Staging / Q000592:standards*; D016522:Oncology Service, Hospital / Q000592:standards; D017063:Outcome Assessment, Health Care; D010051:Ovarian Neoplasms / Q000473:pathology*; D011379:Prognosis; D011793:Queensland; D012189:Retrospective Studies; D024162:Second-Look Surgery / Q000592:standards*; D019564:Unnecessary Procedures