title: Comparison of peritoneal carcinomatosis scoring methods in predicting resectability and prognosis in advanced ovarian cancer.
abstract: OBJECTIVE
  The aim of this study was to compare carcinomatosis scores, and to determine their relevance to predict resectability, morbidity, and outcome.
  
  
  METHODS
  From 2005-2008, 61 patients underwent surgery for ovarian cancer. We compared International Federation Gynecology and Obstetrics (FIGO), peritoneal cancer index, Eisenkop, Aletti, Fagotti, and Fagotti-modified scores.
  
  
  RESULTS
  There was a strong correlation between the different scores. In predicting resectability, Fagotti-modified and peritoneal cancer index outperformed other scores. We demonstrated a strong association between the occurrence of postoperative complications and Aletti, peritoneal cancer index, and Eisenkop scores (P < .0001). For progression-free survival, we observed significant differences among FIGO, peritoneal cancer index, Eisenkop, Fagotti-modified, and Aletti stages (P < .05). For stage III/IV patients, only Aletti score remains significant to predict resectability. This suggests that complete respectability is more related to the surgical effort than to the extent of the disease.
  
  
  CONCLUSIONS
  Alternative ranking systems provide additional information over FIGO for complete resectability, complications, and survival.
authors.affiliation: Department of Gynecology-Obstetrics and Prediction Unit (INSERM U953, Epidemiological Research Unit on Perinatal and Women's Health), Hôpital Tenon, Assistance Publique des Hôpitaux de Paris, and CancerEst, Université Pierre et Marie Curie, Paris, France.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Chéreau
authors.forename: Marcos
authors.initials: M
authors.lastname: Ballester
authors.forename: Frédéric
authors.initials: F
authors.lastname: Selle
authors.forename: Annie
authors.initials: A
authors.lastname: Cortez
authors.forename: Emile
authors.initials: E
authors.lastname: Daraï
authors.forename: Roman
authors.initials: R
authors.lastname: Rouzier
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000556:secondary*; D011379:Prognosis; D012372:ROC Curve