Research Article

Prognostic Factors and a Predictive Nomogram of Cancer-Specific Survival of Epithelial Ovarian Cancer Patients with Pelvic Exenteration Treatment

Table 1

Demographic and clinical characteristics of EOC patients included in this study.

Overall (N = 454)Training group (N = 317)Validation group (N = 137) value

Age (years)
 ≤70378 (83.3%)268 (84.5%)110 (80.3%)0.329
 ≥7176 (16.7%)49 (15.5%)27 (19.7%)
Race
 White393 (86.6%)276 (87.1%)117 (85.4%)0.86
 Black14 (3.1%)9 (2.8%)5 (3.6%)
 Others47 (10.4%)32 (10.1%)15 (10.9%)
Marital status
 Married272 (59.9%)186 (58.7%)86 (62.8%)0.162
 Single81 (17.8%)53 (16.7%)28 (20.4%)
 Others101 (22.2%)78 (24.6%)23 (16.8%)
Histologic type
 Clear cell20 (4.4%)13 (4.1%)7 (5.1%)0.819
 Endometrioid21 (4.6%)14 (4.4%)7 (5.1%)
 Mucinous7 (1.5%)4 (1.3%)3 (2.2%)
 Serous406 (89.4%)286 (90.2%)120 (87.6%)
Grade
 I10 (2.2%)9 (2.8%)1 (0.7%)0.658
 II71 (15.6%)51 (16.1%)20 (14.6%)
 III335(73.8%)232 (73.2%)103 (75.2%)
 Unknown38 (8.4%)25 (7.9%)13 (9.5%)
Laterality
 Bilateral275 (60.6%)191 (60.3%)84 (61.3%)0.554
 Unilateral156 (34.4%)112 (35.3%)44 (32.1%)
 Unknown23 (5.1%)14 (4.4%)9 (6.6%)
FIGO stage
 I/II28 (6.2%)20 (6.3%)8 (5.8%)1
 III/IV426 (93.8%)297 (93.7%)129 (94.2%)
T stage
 T112 (2.6%)10 (3.2%)2 (1.5%)0.785
 T226 (5.7%)18 (5.7%)8 (5.8%)
 T3118 (26.0%)82 (25.9%)36 (26.3%)
 T4298 (65.6%)207 (65.3%)91 (66.4%)
N stage
 N0137 (30.2%)98 (30.9%)39 (28.5%)0.682
 N1317 (69.8%)219 (69.1%)98 (71.5%)
M stage
 M0272 (59.9%)194 (61.2%)78 (56.9%)0.455
 M1182 (40.1%)123 (38.8%)59 (43.1%)
Surgical approach
 PE40 (8.8%)34 (10.7%)6 (4.4%)0.188
 APE13 (2.9%)7 (2.2%)6 (4.4%)
 PPE357 (78.6%)246 (77.6%)111 (81.0%)
 TPE38 (8.4%)26 (8.2%)12 (8.8%)
 EPE6 (1.3%)4 (1.3%)2 (1.5%)
Radiotherapy
 No/unknown449 (98.9%)314 (99.1%)135 (98.5%)1
 Yes5 (1.1%)3 (0.9%)2 (1.5%)
Chemotherapy
 No/unknown80 (17.6%)58 (18.3%)22 (16.1%)0.66
 Yes374 (82.4%)259 (81.7%)115 (83.9%)
CA125
 Positive370 (81.5%)260 (82.0%)110 (80.3%)0.484
 Negative16 (3.5%)9 (2.8%)7 (5.1%)
 Unknown68 (15.0%)48 (15.1%)20 (14.6%)
Lymph nodes examined
 1∼12154 (33.9%)108 (34.1%)46 (33.6%)0.953
 13∼25139 (30.6%)98 (30.9%)41 (29.9%)
 ≥26161 (35.5%)111 (35.0%)50 (36.5%)
Lymph nodes positive
 0∼8356 (78.4%)254 (80.1%)102 (74.5%)0.221
 ≥998 (21.6%)63 (19.9%)35 (25.5%)
LNR
 (0, ≤0.03)150 (33.0%)109 (34.4%)41 (29.9%)0.651
 (>0.03, ≤0.32)146 (32.2%)100 (31.5%)46 (33.6%)
 (>0.32, 1.00)158 (34.8%)108 (34.1%)50 (36.5%)
LODDS
 (−2.25, ≤−1.18)124 (27.3%)91 (28.7%)33 (24.1%)0.551
 (>−1.18, ≤−0.25)183 (40.3%)127 (40.1%)56 (40.9%)
 (>−0.25, 2.26)147 (32.4%)99 (31.2%)48 (35.0%)
Tumor size (mm)
 <3862 (13.7%)46 (14.5%)16 (11.7%)0.245
 ≥38288 (63.4%)205 (64.7%)83 (60.6%)
 Unknown104 (22.9%)66 (20.8%)38 (27.7%)