Bevacizumab does not reduce the lymphocele rate in advanced ovarian cancer after complete cytoreductive surgery

Morgane Perrin, Enrica Bentivegna, Claire Bonneau, Catherine Uzan, Alexandra Leary, Patricia Pautier, Catherine Genestie, Philippe Morice, Sébastien Gouy

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    Abstract

    Background/Aim: We aimed to evaluate the impact of bevacizumab on the lymphocele rate in patients after complete cytoreductive surgery for advanced ovarian cancer. Patients and Methods: This retrospective study included patients with advanced ovarian cancer who had undergone complete cytoreductive surgery with pelvic and para-aortic lymphadenectomy at the Gustave Roussy Institute from 2005 to 2014. The introduction of bevacizumab was discussed in a multidisciplinary meeting. Results: During the study period, 247 patients were included; 24.6% of patients (61 patients) received adjuvant bevacizumab. The rate of symptomatic lymphocele was 34% (84 patients). In the lymphocele group, patients tended to receive adjuvant bevacizumab more often than did the control group (32% and 21%, respectively, p=0.05). In multivariate analysis, bevacizumab was not significantly associated with the risk of symptomatic lymphocele (hazard ratio(HR)=1.62, 95% confidence interval(CI)=0.87-3.01, p=0.12). Conclusion: Adjuvant bevacizumab has no impact on the formation or duration of symptomatic lymphocele in patients after complete cytoreductive surgery for advanced ovarian cancer.

    Original languageEnglish
    Pages (from-to)2247-2252
    Number of pages6
    JournalAnticancer Research
    Volume38
    Issue number4
    DOIs
    Publication statusPublished - 1 Apr 2018

    Keywords

    • Bevacizumab
    • Lymphadenectomy
    • Lymphocele
    • Ovarian cancer
    • Surgery.

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