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The effect of complicating deep venous thrombosis on the prognosis of ovarian cancer |
HU Yue1 TANG Dong2 |
1.Department of Oncology, Jingzhou Center Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Tech, Hubei Province, Jingzhou 434020, China;
2.Department of Neurosurgery, Jingzhou Center Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Tech, Hubei Province, Jingzhou 434020, China |
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Abstract Objective To investigate whether the combination of deep venous thrombosis (DVT) in the early diagnosis of ovarian cancer has an effect on its prognosis, and to study whether there was a difference in prognosis between symptomatic DVT and asymptomatic DVT combined with ovarian cancer. Methods Sixty-five patients with ovarian cancer (including primary peritoneal cancer and fallopian tube cancer) hospitalized from January 2008 and December 2015 in Jingzhou Center Hospital were selected and devided into DVT group with 15 cases and no DVT group with 50 cases. The clinical, pathological and survival data of the two groups were compared. Results Median overall-survival of DVT group was significantly shorter than no DVT group (21.7 months vs. 40.0 months) (P = 0.001). There was no statistical significance between DVT group and no DVT group in median progression-free survival (17.2 months vs. 28.7 months) (P = 0.361). Median overall-survival of symptomatic DVT group was significantly shorter than asymptomatic DVT group (21.5 months vs. 37.9 months) (P = 0.010). There were no significant differences between no DVT group and asymptomatic DVT group (P = 0.069), median overall-survival of no DVT group was significantly longer than symptomatic DVT group, the difference was satistically significant (P = 0.008). Conclusion Complicating deep venous thrombosis at time of diagnosis is an adverse prognostic factor in ovarian cancer. It mainly reflected in complicating symptomatic DVT decreasing overall survival of ovarian cancer patients.
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