RESUMEN
BACKGROUND/AIM: The purpose of this study was to prove the effect of complete surgical staging of patients with mucinous borderline ovarian tumors (mBOTs) especially appendectomy on progression-free survival (PFS) and overall survival (OS). PATIENTS AND METHODS: The database of 14 gynecological oncology departments from Turkey and Germany were comprehensively searched for women who underwent primary surgery for an ovarian tumor between January 1, 1998, and December 31, 2015, and whose final diagnosis was mBOT. RESULTS: A total of 364 patients with mBOT with a median age of 43.1 years were included in this analysis. The median OS of all patients was 53.1 months. The majority of cases had Stage IA (78.6%). In univariate and multivariate analyses, radical surgery, omentectomy, appendectomy, lymphadenectomy, and adding adjuvant chemotherapy were not independent prognostic factors for PFS and OS. Furthermore, FIGO stage (≥IC vs. Asunto(s)
Procedimientos Quirúrgicos Ginecológicos
, Estadificación de Neoplasias/métodos
, Neoplasias Quísticas, Mucinosas y Serosas/patología
, Neoplasias Quísticas, Mucinosas y Serosas/cirugía
, Neoplasias Ováricas/patología
, Neoplasias Ováricas/cirugía
, Adolescente
, Adulto
, Anciano
, Anciano de 80 o más Años
, Apendicectomía
, Quimioterapia Adyuvante
, Progresión de la Enfermedad
, Supervivencia sin Enfermedad
, Femenino
, Alemania
, Procedimientos Quirúrgicos Ginecológicos/efectos adversos
, Procedimientos Quirúrgicos Ginecológicos/mortalidad
, Humanos
, Estimación de Kaplan-Meier
, Escisión del Ganglio Linfático
, Persona de Mediana Edad
, Análisis Multivariante
, Neoplasias Quísticas, Mucinosas y Serosas/mortalidad
, Neoplasias Ováricas/mortalidad
, Valor Predictivo de las Pruebas
, Modelos de Riesgos Proporcionales
, Estudios Retrospectivos
, Factores de Riesgo
, Factores de Tiempo
, Resultado del Tratamiento
, Turquía
, Adulto Joven
RESUMEN
Visualization is an important tool, necessary for making sense of vast amounts of data. Many data science projects make use of visualization techniques to illustrate and explain their results. But complex interactive visualizations can also be excellent exploration tools to help guide the analysis, detect early signs of problems and irregularities, suggest new discoveries, and test the effectiveness and efficiency of scientific models. This article describes a combinatory design process that uses a method of incremental addition to create increasingly complex arrangements and thus create new ways to see data and discover new insights.
Asunto(s)
Modelos Teóricos , Estadística como Asunto/métodos , Tenis , HumanosRESUMEN
BACKGROUND: The optimal surgical management and staging of borderline ovarian tumors (BOTs) are controversial. Institutions have different surgical approaches for the treatment of BOTs. Here, we performed a retrospective review of clinical characteristics, surgical management and surgical outcomes, and sought to identify variables affecting disease-free survival (DFS) and overall survival (OS) in patients with BOTs. METHODS: A retrospective review of ten gynecological oncology department databases in Turkey was conducted to identify patients diagnosed with BOTs. The effects of type of surgery, age, stage, surgical staging, complete versus incomplete staging, and adjuvant chemotherapy were examined on DFS and OS. RESULTS: In total, 733 patients with BOTs were included in the analysis. Most of the staged cases were in stage IA (70.4 %). In total, 345 patients underwent conservative surgeries. Recurrence rates were similar between the conservative and radical surgery groups (10.5 % vs. 8.7 %). Furthermore we did not find any difference between DFS (HR = 0.96; 95 % confidence interval, CI = 0.7-1.2; p = 0.576) or OS (HR = 0.9; 95 % CI = 0.8-1.1; p = 0.328) between patients who underwent conservative versus radical surgeries. There was also no difference in DFS (HR = 0.74; 95 % CI = 0.8-1.1; p = 0.080) or OS (HR = 0.8; 95 % CI = 0.7-1.0; p = 0.091) between complete, incomplete, and unstaged patients. Furthermore, receiving adjuvant chemotherapy (CT) for tumor stage ≥ IC was not an independent prognostic factor for DFS or OS. CONCLUSIONS: Patients undergoing conservative surgery did not show higher recurrence rates; furthermore, survival time was not shortened. Detailed surgical staging, including lymph node sampling or dissection, appendectomy, and hysterectomy, were not beneficial in the surgical management oF BOTs.
Asunto(s)
Neoplasias Ováricas/diagnóstico , Adulto , Biopsia , Terapia Combinada , Manejo de la Enfermedad , Femenino , Humanos , Estimación de Kaplan-Meier , Persona de Mediana Edad , Clasificación del Tumor , Recurrencia Local de Neoplasia , Estadificación de Neoplasias , Neoplasias Ováricas/mortalidad , Neoplasias Ováricas/terapia , Retratamiento , Estudios Retrospectivos , Resultado del Tratamiento , Ultrasonografía , Adulto JovenRESUMEN
Hierarchical lattices that constitute spatially anisotropic systems are introduced. These lattices provide exact solutions for hierarchical models and, simultaneously, approximate solutions for uniaxially or fully anisotropic d = 3 physical models. The global phase diagrams, with d = 2 and d = 1 to d = 3 crossovers, are obtained for Ising and XY magnetic models and percolation systems, including crossovers from algebraic order to true long-range order.
RESUMEN
We present the results of a large-scale numerical study of the equilibrium three-dimensional Edwards-Anderson Ising spin glass with Gaussian disorder. Using parallel tempering (replica exchange) Monte Carlo we measure various static, as well as dynamical quantities, such as the autocorrelation times and round-trip times for the parallel tempering Monte Carlo method. The correlation between static and dynamic observables for 5000 disorder realizations and up to 1000 spins down to temperatures at 20% of the critical temperature is examined. Our results show that autocorrelation times are directly correlated with the roughness of the free-energy landscape.