Características de las pacientes con cáncer de ovario en el Hospital de San José, Bogotá D.C., 2009-2013

Profile of patients with ovarian cancer in the Hospital de San José, Bogota, 2009-2013

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Edmundo Mora Padilla
Everardo Gutiérrez Rodríguez

Resumen

El cáncer de ovario presenta alta prevalencia con 238.719 casos reportados a nivel mundial, cuya mortalidad alcanza y supera el 50%, siendo la mayor causada por cáncer ginecológico. Objetivo: Describir las características de las pacientes diagnosticadas o tratadas por cáncer de ovario en el Servicio de Ginecología Oncológica del Hospital de San José en el periodo 2009-2013.
Materiales y métodos: Serie de casos retrospectiva.
Resultados: Se incluyeron 68 pacientes con edad promedio de 49 años (DE: 15,5, mínima: 14 y máxima: 82); 57,5% (n = 39) fueron posmenopáusicas. El tipo histológico seroso papilar fue el más común en pre y menopáusicas. El 70,6% se diagnosticaron en estadios iii-iv. Se logró citorreducción óptima (R1) o total (R0) en el 40,9%. Se administró quimioterapia adyuvante al 74,24%. La supervivencia libre de recurrencia fue de 63,23% y la supervivencia global de 54,41%.
Conclusión: En nuestra población el cáncer de ovario se diagnosticó en edades más tempranas que lo reportado a nivel mundial. Coincidiendo con la literatura la histología más frecuente fue el seroso papilar, que se detectó en etapas avanzadas y con alta mortalidad.

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