The authors have stated explicitly that there are no conflicts of interest in connection with this article.
Short Research Report
Diagnostic accuracy of risk of malignancy index in predicting complete tumor removal at primary debulking surgery for ovarian cancer patients
Article first published online: 9 APR 2013
© 2013 Nordic Federation of Societies of Obstetrics and Gynecology
Acta Obstetricia et Gynecologica Scandinavica
Volume 92, Issue 6, pages 721–726, June 2013
How to Cite
Diagnostic accuracy of risk of malignancy index in predicting complete tumor removal at primary debulking surgery for ovarian cancer patients. Acta Obstet Gynecol Scand 2013; DOI: 10.1111/aogs.12127., , , , , , , .
- Issue published online: 16 MAY 2013
- Article first published online: 9 APR 2013
- Accepted manuscript online: 1 MAR 2013 04:56AM EST
- Manuscript Accepted: 20 FEB 2013
- Manuscript Received: 11 OCT 2012
- Diagnostic accuracy;
- ovarian cancer;
- preoperative evaluation;
- primary debulking surgery;
- risk of malignancy index;
- tumor removal
Ovarian cancer patients in whom complete tumor removal is impossible with primary debulking surgery (PDS) may benefit from neoadjuvant chemotherapy and interval debulking surgery. However, the task of performing a pre-operative evaluation of the feasibility of PDS is difficult. We aimed to investigate whether the risk of malignancy index (RMI) was a useful marker for this evaluation. RMI and surgical outcome were investigated in 164 patients, 49 of whom had no residual tumor after PDS. The receiver operating characteristic curve showed an area under the curve of 0.72 (confidence interval: 0.64–0.80). The possibility of complete tumor removal decreased with increasing RMI and there was a tendency towards higher RMI in patients with residual tumor after PDS, but no single cut-off value of RMI produced useful clinical predictive values. In conclusion, RMI alone is not an optimal method to determine whether complete tumor removal is possible with PDS.