None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Women aged 20 years or older 2) Histologically confirmed epithelial ovarian cancer with no prior treatment 3) Clinical FIGO stage I/II diagnosis based on imaging (CT, MRI, or PET/CT) conducted within 4 weeks pre-surgery 4) Histological subtypes: High-grade serous (Grade 2/3), high-grade endometrioid (Grade 2/3), or clear cell carcinoma. Low-grade serous or endometrioid subtypes are eligible if clinical FIGO stage IC or higher is suspected. 5) Presumed FIGO stage I-II 6) Short axis of pelvic or para-aortic lymph nodes <15 mm on MRI or CT 7) Scheduled for re-staging surgery, with a requirement for adjuvant chemotherapy based on initial surgery findings 8) ECOG performance status 0-2 9) ASA physical status 1-2 10) Adequate organ function: WBC = 3,000/mm³ Platelets = 100,000/mm³ Creatinine = 2.0 mg/dL Bilirubin = 1.5 x institutional upper limit normal SGOT, SGPT, and ALP = 3 x institutional upper limit normal 11) Voluntary signed informed consent
Exclusion criteria
Exclusion criteria: 1) Presumed FIGO stage III-IV 2) Mucinous tumor histology 3) Non-epithelial ovarian tumors 4) Borderline ovarian tumors 5) Presence of lower extremity or perineal lymphedema 6) Clinically suspected lymph node metastasis during surgery (bulky nodes) 7) History of pelvic or para-aortic lymph node dissection 8) History of pelvic/abdominal radiotherapy 9) Prior chemotherapy for pelvic/abdominal tumors 10) Cancer other than non-melanoma skin cancer, cervical carcinoma in situ, T1 N0 M0 G1/2 breast cancer, or superficial bladder/gastric cancer within 5 years 11) Severe comorbidities or complications 12) Pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year disease-free survival rate | — |
Secondary
| Measure | Time frame |
|---|---|
| overall survival rate;disease-free survival rate | — |
Countries
Korea, Republic of
Contacts
KGOG(Korea Gynecologic Oncology Group)