Akkaya et al identified prognostic factors for a woman with adenocarcinoma of the fallopian tube. These can help to identify a patient who may require more aggressive management. The authors are from Tepecik Obstetrics and Gynaecology Training and Research Hospital and Erzincan University in Turkey.
Patient selection: adenocarcinoma of the fallopian tube
Factors associated with a worse prognosis from multivariate analysis:
(1) stage III or IV (HR 3.6)
(2) ascites (HR 2.1)
(3) residual tumor size after surgery > 1 cm (HR 3.2), indicative of suboptimal surgery
where:
• Residual volume may be easier to estimate than diameter, especially if there are multiple small lesions. A sphere 1 cm in diameter has a volume of 0.52 cubic cm.
Additional factors associated with a worse prognosis:
