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REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ

Year 2016, Volume: 19 Issue: 3, 99 - 106, 21.05.2018

Murat Öz İlker Selçuk Zeliha Fırat Cüylan Hüseyin Akıllı Ali Ayhan

Abstract

Epitelyal over kanseri’nin (EOK) standart yönetim şekli primer sitoredüktif cerrahi ve ardından verilen intravenöz platin tabanlı kemoterapidir.
İlk tedavi sonrası hastaların büyük bölümünde remisyon görülmesine rağmen ileri evre hastalıkta nihayetinde hastaların tamamına
yakını nüksetmektedir. Rekürren EOK’de henüz standartlaşmış bir yönetim şekli yoktur. Nüks hastaların değerlendirilmesi ve tedavi şekli
mutlaka bireyselleştirilmelidir. Nüks tanısı alan hastanın önünde iki seçenek vardır. Birincisi platin duyarlılığına göre belirlenecek kemoterapi
rejiminin alınması, ikincisi ise sekonder sitoredüksiyon (SSR) girişiminin ardından verilecek adjuvan kemoterapi. Henüz iki yöntem de
standart yönetime girmiş değildir, çünkü bu konuya açıklık getirecek kanıtlar henüz olgunlaşmamıştır. Bu derlemede son literatür ışığında
rekürren EOK hastalarında SSR girişiminin rasyoneli ve şimdiye dek yapılmış çalışmalar irdelenerek tedavinin bireyselleştirilmesi ve hasta
seçimi konusunda güncel yaklaşım oluşturulmaya çalışılacaktır. 

Keywords

Rekürren over kanseri kemoterapi sekonder sitoreduksiyon

References

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  • 2. Parmar MK, Ledermann JA, Colombo N,, et al. Paclitaxel plus platinum-based chemotherapy versus conventional platinum-based chemotherapy in women with relapsed ovarian cancer: the ICON4/AGO-OVAR-2.2 trial. Lancet. 2003;361(9375):2099-106.
  • 3. Aghajanian C, Blank SV, Goff BA, et al. OCEANS: a randomized, double-blind, placebo-controlled phase III trial of chemotherapy with or without bevacizumab in patients with platinum-sensitive recurrent epithelial ovarian, primary peritoneal, or fallopian tube cancer. Journal of clinical oncology : off icial journal of the American Society of Clinical Oncology. 2012;30(17):2039-45.
  • 4. Morris M, Gershenson DM, Wharton JT. Secondary cytoreductive surgery in epithelial ovarian cancer: nonresponders to first-line therapy. Gynecologic oncology. 1989;33(1):1-5.
  • 5. Petrillo M, Pedone Anchora L, Tortorella L, et al. Secondary cytoreductive surgery in patients with isolated platinum-resistant recurrent ovarian cancer: a retrospective analysis. Gynecologic oncology. 2014;134(2):257-61.
  • 6. Al Rawahi T, Lopes AD, Bristow RE, et al. Surgical cytoreduction for recurrent epithelial ovarian cancer. Th e Cochrane database of systematic reviews. 2013;2:CD008765.
  • 7. Berek JS, Hacker NF, Lagasse LD, Nieberg RK, Elashoff RM. Survival of patients following secondary cytoreductive surgery in ovarian cancer. Obstetrics and gynecology. 1983;61(2):189-93.
  • 8. Bristow RE, Puri I, Chi DS. Cytoreductive surgery for recurrent ovarian cancer: a meta-analysis. Gynecologic oncology. 2009;112(1):265-74.
  • 9. Lee CK, Lord S, Grunewald T, Gebski V, et al. Impact of secondary cytoreductive surgery on survival in patients with platinum sensitive recurrent ovarian cancer: analysis of the CALYPSO trial. Gynecologic oncology. 2015;136(1):18-24.
  • 10. Harter P, du Bois A, Hahmann M, et al. Surgery in recurrent ovarian cancer: the Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) DESKTOP OVAR trial. Annals of surgical oncology. 2006;13(12):1702-10.
  • 11. Zang RY, Zhang ZY, Li ZT,, et al. Eff ect of cytoreductive surgery on survival of patients with recurrent epithelial ovarian cancer. Journal of surgical oncology. 2000;75(1):24-30.
  • 12. Chi DS, McCaughty K, Diaz JP, et al. Guidelines and selection criteria for secondary cytoreductive surgery in patients with recurrent, platinum-sensitive epithelial ovarian carcinoma. Cancer. 2006;106(9):1933-9.
  • 13. Gadducci A, Cosio S, Zola P, et al. Th e clinical outcome of epithelial ovarian cancer patients with apparently isolated lymph node recurrence: a multicenter retrospective Italian study. Gynecologic oncology. 2010;116(3):358-63.
  • 14. Ferrero A, Ditto A, Giorda G, et al. Secondary cytoreductive surgery for isolated lymph node recurrence of epithelial ovarian cancer: a multicenter study. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 2014;40(7):891-8.
  • 15. Petrillo M, Fagotti A, Ferrandina G, Fanfani F, et al. Ovarian cancer patients with localized relapse: clinical outcome and prognostic factors. Gynecologic oncology. 2013;131(1):36-41.
  • 16. Gershenson DM, Sun CC, Bodurka D, Coleman RL, et al. Recurrent low-grade serous ovarian carcinoma is relatively chemoresistant. Gynecologic oncology. 2009;114(1):48-52.
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  • 20. Covens AL. A critique of surgical cytoreduction in advanced ovarian cancer. Gynecologic oncology. 2000;78(3 Pt 1):269-74.
  • 21. Hoskins WJ, McGuire WP, Brady MF, et al. Th e eff ect of diameter of largest residual disease on survival aft er primary cytoreductive surgery in patients with suboptimal residual epithelial ovarian carcinoma. American journal of obstetrics and gynecology. 1994;170(4):974-9; discussion 9-80.
  • 22. Minaguchi T, Satoh T, Matsumoto K, et al. Proposal for selection criteria of secondary cytoreductive surgery in recurrent epithelial ovarian, tubal, and peritoneal cancers. Int J Clin Oncol. 2015.
  • 23. Tian WJ, Chi DS, Sehouli J, et al. A risk model for secondary cytoreductive surgery in recurrent ovarian cancer: an evidence-based proposal for patient selection. Annals of surgical oncology. 2012;19(2):597-604.
  • 24. Ayhan A, Gultekin M, Taskiran C, et al. Th e role of secondary cytoreduction in the treatment of ovarian cancer: Hacettepe University experience. American journal of obstetrics and gynecology. 2006;194(1):49-56.
  • 25. Harter P, Sehouli J, Reuss A, et al. Prospective validation study of a predictive score for operability of recurrent ovarian cancer: the Multicenter Intergroup Study DESKTOP II. A project of the AGO Kommission OVAR, AGO Study Group, NOGGO, AGO-Austria, and MITO. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2011;21(2):289-95.
  • 26. Benedetti Panici P, Perniola G, Angioli R, et al. Bulky lymph node resection in patients with recurrent epithelial ovarian cancer: impact of surgery. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2007;17(6):1245-51.
  • 27. Janicke F, Holscher M, Kuhn W, et al. Radical surgical procedure improves survival time in patients with recurrent ovarian cancer. Cancer. 1992;70(8):2129-36.
  • 28. Vaccarello L, Rubin SC, Vlamis V, et al. Cytoreductive surgery in ovarian carcinoma patients with a documented previously complete surgical response. Gynecologic oncology. 1995;57(1):61-5.
  • 29. Cormio G, di Vagno G, Cazzolla A, et al. Surgical treatment of recurrent ovarian cancer: report of 21 cases and a review of the literature. European journal of obstetrics, gynecology, and reproductive biology. 1999;86(2):185-8.
  • 30. Gadducci A, Iacconi P, Cosio S, Fanucchi A, Cristofani R, Riccardo Genazzani A. Complete salvage surgical cytoreduction improves further survival of patients with late recurrent ovarian cancer. Gynecologic oncology. 2000;79(3):344-9.
  • 31. Onda T, Yoshikawa H, Yasugi T, Yamada M, Matsumoto K, Taketani Y. Secondary cytoreductive surgery for recurrent epithelial ovarian carcinoma: proposal for patients selection. British journal of cancer. 2005;92(6):1026-32.
  • 32. Benedetti Panici P, De Vivo A, Bellati F, et al. Secondary cytoreductive surgery in patients with platinum-sensitive recurrent ovarian cancer. Annals of surgical oncology. 2007;14(3):1136-42.
  • 33. van de Laar R, Massuger LF, Van Gorp T, IntHout J, Zusterzeel PL, Kruitwagen RF. External validation of two prediction models of complete secondary cytoreductive surgery in patients with recurrent epithelial ovarian cancer. Gynecologic oncology. 2015;137(2):210-5.
  • 34. Rutten MJ, Leefl ang MM, Kenter GG, Mol BW, Buist M. Laparoscopy for diagnosing resectability of disease in patients with advanced ovarian cancer. Th e Cochrane database of systematic reviews. 2014;2:CD009786.
  • 35. Jansen FW, Kapiteyn K, Trimbos-Kemper T, Hermans J, Trimbos JB. Complications of laparoscopy: a prospective multicentre observational study. Br J Obstet Gynaecol. 1997;104(5):595-600.
  • 36. Chi DS, Abu-Rustum NR, Sonoda Y, et al. Ten-year experience with laparoscopy on a gynecologic oncology service: analysis of risk factors for complications and conversion to laparotomy. American journal of obstetrics and gynecology. 2004;191(4):1138-45.
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  • 38. Tanner EJ, Chi DS, Eisenhauer EL, Diaz-Montes TP, Santillan A, Bristow RE. Surveillance for the detection of recurrent ovarian cancer: survival impact or lead-time bias? Gynecologic oncology. 2010;117(2):336-40.
  • 39. Rustin GJ, Nelstrop AE, Tuxen MK, Lambert HE. Defining progression of ovarian carcinoma during followup according to CA 125: a North Th ames Ovary Group Study. Annals of oncology : off icial journal of the European Society for Medical Oncology / ESMO. 1996;7(4):361-4.
  • 40. Rustin GJ, Marples M, Nelstrop AE, Mahmoudi M, Meyer T. Use of CA-125 to define progression of ovarian cancer in patients with persistently elevated levels. Journal of clinical oncology : off icial journal of the American Society of Clinical Oncology. 2001;19(20):4054-7.
  • 41. Parker PA, Kudelka A, Basen-Engquist K, Kavanagh J, de Moor J, Cohen L. Th e associations between knowledge, CA125 preoccupation, and distress in women with epithelial ovarian cancer. Gynecologic oncology. 2006;100(3):495-500.
  • 42. Angioli R, Plotti F, Capriglione S, et al. Can the preoperative HE4 level predict optimal cytoreduction in patients with advanced ovarian carcinoma? Gynecologic oncology. 2013;128(3):579-83.
  • 43. Angioli R, Capriglione S, Aloisi A, et al. A Predictive Score for Secondary Cytoreductive Surgery in Recurrent Ovarian Cancer (SeC-Score): A Single-Centre, Controlled Study for Preoperative Patient Selection. Annals of surgical oncology. 2015;22(13):4217-23.
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  • 45. Lee JW, Cho A, Lee JH, et al. Th e role of metabolic tumor volume and total lesion glycolysis on (1)(8)F-FDG PET/ CT in the prognosis of epithelial ovarian cancer. European journal of nuclear medicine and molecular imaging. 2014;41(10):1898-906.
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SURGICAL MANAGEMENT OF RECURRENT EPITHELIAL OVARIAN CANCER

Year 2016, Volume: 19 Issue: 3, 99 - 106, 21.05.2018

Murat Öz İlker Selçuk Zeliha Fırat Cüylan Hüseyin Akıllı Ali Ayhan

Abstract

Primary cytoreductive surgery followed by platinum based intravenous chemotherapy is the mainstay of the treatment in epithelial ovarian
cancer (EOC). Most of the patients Show complete remission after the initial therapy. However, patients with advanced stage disease
will eventually recur. There is not a standardized management for recurrent EOC. The management and therapeutic options should be
highly individualized for recurrent EOC patients. There are two majör options fort he patients with recurrent EOC: first option is intravenous
chemotherapy, which should be established according to the platinum sensitivity of the tumor. Second option is adjuvant intravenous
chemotherapy followed by secondary cytoreductive surgery (SCR). Due to lack of high quality evidence, there is not a standard
approach for recurrent EOC. In the review article, we evaluated the rationale in the management of recurrent EOC and tried to establish a
current approach for individualizing the management and patient selection for SCR in EOC.

Keywords

recurrent ovarian cancer chemotherapy secondary cytoreduction

References

  • 1. Bristow RE, Tomacruz RS, Armstrong DK, Trimble EL, Montz FJ. Survival eff ect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: a meta-analysis. Journal of clinical oncology : off icial journal of the American Society of Clinical Oncology. 2002;20(5):1248-59.
  • 2. Parmar MK, Ledermann JA, Colombo N,, et al. Paclitaxel plus platinum-based chemotherapy versus conventional platinum-based chemotherapy in women with relapsed ovarian cancer: the ICON4/AGO-OVAR-2.2 trial. Lancet. 2003;361(9375):2099-106.
  • 3. Aghajanian C, Blank SV, Goff BA, et al. OCEANS: a randomized, double-blind, placebo-controlled phase III trial of chemotherapy with or without bevacizumab in patients with platinum-sensitive recurrent epithelial ovarian, primary peritoneal, or fallopian tube cancer. Journal of clinical oncology : off icial journal of the American Society of Clinical Oncology. 2012;30(17):2039-45.
  • 4. Morris M, Gershenson DM, Wharton JT. Secondary cytoreductive surgery in epithelial ovarian cancer: nonresponders to first-line therapy. Gynecologic oncology. 1989;33(1):1-5.
  • 5. Petrillo M, Pedone Anchora L, Tortorella L, et al. Secondary cytoreductive surgery in patients with isolated platinum-resistant recurrent ovarian cancer: a retrospective analysis. Gynecologic oncology. 2014;134(2):257-61.
  • 6. Al Rawahi T, Lopes AD, Bristow RE, et al. Surgical cytoreduction for recurrent epithelial ovarian cancer. Th e Cochrane database of systematic reviews. 2013;2:CD008765.
  • 7. Berek JS, Hacker NF, Lagasse LD, Nieberg RK, Elashoff RM. Survival of patients following secondary cytoreductive surgery in ovarian cancer. Obstetrics and gynecology. 1983;61(2):189-93.
  • 8. Bristow RE, Puri I, Chi DS. Cytoreductive surgery for recurrent ovarian cancer: a meta-analysis. Gynecologic oncology. 2009;112(1):265-74.
  • 9. Lee CK, Lord S, Grunewald T, Gebski V, et al. Impact of secondary cytoreductive surgery on survival in patients with platinum sensitive recurrent ovarian cancer: analysis of the CALYPSO trial. Gynecologic oncology. 2015;136(1):18-24.
  • 10. Harter P, du Bois A, Hahmann M, et al. Surgery in recurrent ovarian cancer: the Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) DESKTOP OVAR trial. Annals of surgical oncology. 2006;13(12):1702-10.
  • 11. Zang RY, Zhang ZY, Li ZT,, et al. Eff ect of cytoreductive surgery on survival of patients with recurrent epithelial ovarian cancer. Journal of surgical oncology. 2000;75(1):24-30.
  • 12. Chi DS, McCaughty K, Diaz JP, et al. Guidelines and selection criteria for secondary cytoreductive surgery in patients with recurrent, platinum-sensitive epithelial ovarian carcinoma. Cancer. 2006;106(9):1933-9.
  • 13. Gadducci A, Cosio S, Zola P, et al. Th e clinical outcome of epithelial ovarian cancer patients with apparently isolated lymph node recurrence: a multicenter retrospective Italian study. Gynecologic oncology. 2010;116(3):358-63.
  • 14. Ferrero A, Ditto A, Giorda G, et al. Secondary cytoreductive surgery for isolated lymph node recurrence of epithelial ovarian cancer: a multicenter study. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 2014;40(7):891-8.
  • 15. Petrillo M, Fagotti A, Ferrandina G, Fanfani F, et al. Ovarian cancer patients with localized relapse: clinical outcome and prognostic factors. Gynecologic oncology. 2013;131(1):36-41.
  • 16. Gershenson DM, Sun CC, Bodurka D, Coleman RL, et al. Recurrent low-grade serous ovarian carcinoma is relatively chemoresistant. Gynecologic oncology. 2009;114(1):48-52.
  • 17. Crane EK, Sun CC, Ramirez PT, Schmeler KM, Malpica A, Gershenson DM. Th e role of secondary cytoreduction in low-grade serous ovarian cancer or peritoneal cancer. Gynecologic oncology. 2015;136(1):25-9.
  • 18. van de Laar R, Kruitwagen RF, IntHout J, Zusterzeel PL, Van Gorp T, Massuger LF. Surgery for Recurrent Epithelial Ovarian Cancer in the Netherlands: A Population-Based Cohort Study. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2015.
  • 19. Goldie JH, Coldman AJ. A mathematic model for relating the drug sensitivity of tumors to their spontaneous mutation rate. Cancer Treat Rep. 1979;63(11-12):1727-33.
  • 20. Covens AL. A critique of surgical cytoreduction in advanced ovarian cancer. Gynecologic oncology. 2000;78(3 Pt 1):269-74.
  • 21. Hoskins WJ, McGuire WP, Brady MF, et al. Th e eff ect of diameter of largest residual disease on survival aft er primary cytoreductive surgery in patients with suboptimal residual epithelial ovarian carcinoma. American journal of obstetrics and gynecology. 1994;170(4):974-9; discussion 9-80.
  • 22. Minaguchi T, Satoh T, Matsumoto K, et al. Proposal for selection criteria of secondary cytoreductive surgery in recurrent epithelial ovarian, tubal, and peritoneal cancers. Int J Clin Oncol. 2015.
  • 23. Tian WJ, Chi DS, Sehouli J, et al. A risk model for secondary cytoreductive surgery in recurrent ovarian cancer: an evidence-based proposal for patient selection. Annals of surgical oncology. 2012;19(2):597-604.
  • 24. Ayhan A, Gultekin M, Taskiran C, et al. Th e role of secondary cytoreduction in the treatment of ovarian cancer: Hacettepe University experience. American journal of obstetrics and gynecology. 2006;194(1):49-56.
  • 25. Harter P, Sehouli J, Reuss A, et al. Prospective validation study of a predictive score for operability of recurrent ovarian cancer: the Multicenter Intergroup Study DESKTOP II. A project of the AGO Kommission OVAR, AGO Study Group, NOGGO, AGO-Austria, and MITO. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2011;21(2):289-95.
  • 26. Benedetti Panici P, Perniola G, Angioli R, et al. Bulky lymph node resection in patients with recurrent epithelial ovarian cancer: impact of surgery. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2007;17(6):1245-51.
  • 27. Janicke F, Holscher M, Kuhn W, et al. Radical surgical procedure improves survival time in patients with recurrent ovarian cancer. Cancer. 1992;70(8):2129-36.
  • 28. Vaccarello L, Rubin SC, Vlamis V, et al. Cytoreductive surgery in ovarian carcinoma patients with a documented previously complete surgical response. Gynecologic oncology. 1995;57(1):61-5.
  • 29. Cormio G, di Vagno G, Cazzolla A, et al. Surgical treatment of recurrent ovarian cancer: report of 21 cases and a review of the literature. European journal of obstetrics, gynecology, and reproductive biology. 1999;86(2):185-8.
  • 30. Gadducci A, Iacconi P, Cosio S, Fanucchi A, Cristofani R, Riccardo Genazzani A. Complete salvage surgical cytoreduction improves further survival of patients with late recurrent ovarian cancer. Gynecologic oncology. 2000;79(3):344-9.
  • 31. Onda T, Yoshikawa H, Yasugi T, Yamada M, Matsumoto K, Taketani Y. Secondary cytoreductive surgery for recurrent epithelial ovarian carcinoma: proposal for patients selection. British journal of cancer. 2005;92(6):1026-32.
  • 32. Benedetti Panici P, De Vivo A, Bellati F, et al. Secondary cytoreductive surgery in patients with platinum-sensitive recurrent ovarian cancer. Annals of surgical oncology. 2007;14(3):1136-42.
  • 33. van de Laar R, Massuger LF, Van Gorp T, IntHout J, Zusterzeel PL, Kruitwagen RF. External validation of two prediction models of complete secondary cytoreductive surgery in patients with recurrent epithelial ovarian cancer. Gynecologic oncology. 2015;137(2):210-5.
  • 34. Rutten MJ, Leefl ang MM, Kenter GG, Mol BW, Buist M. Laparoscopy for diagnosing resectability of disease in patients with advanced ovarian cancer. Th e Cochrane database of systematic reviews. 2014;2:CD009786.
  • 35. Jansen FW, Kapiteyn K, Trimbos-Kemper T, Hermans J, Trimbos JB. Complications of laparoscopy: a prospective multicentre observational study. Br J Obstet Gynaecol. 1997;104(5):595-600.
  • 36. Chi DS, Abu-Rustum NR, Sonoda Y, et al. Ten-year experience with laparoscopy on a gynecologic oncology service: analysis of risk factors for complications and conversion to laparotomy. American journal of obstetrics and gynecology. 2004;191(4):1138-45.
  • 37. Vergote I, Marquette S, Amant F, Berteloot P, Neven P. Port-site metastases aft er open laparoscopy: a study in 173 patients with advanced ovarian carcinoma. International journal of gynecological cancer : off icial journal of the International Gynecological Cancer Society. 2005;15(5):776-9.
  • 38. Tanner EJ, Chi DS, Eisenhauer EL, Diaz-Montes TP, Santillan A, Bristow RE. Surveillance for the detection of recurrent ovarian cancer: survival impact or lead-time bias? Gynecologic oncology. 2010;117(2):336-40.
  • 39. Rustin GJ, Nelstrop AE, Tuxen MK, Lambert HE. Defining progression of ovarian carcinoma during followup according to CA 125: a North Th ames Ovary Group Study. Annals of oncology : off icial journal of the European Society for Medical Oncology / ESMO. 1996;7(4):361-4.
  • 40. Rustin GJ, Marples M, Nelstrop AE, Mahmoudi M, Meyer T. Use of CA-125 to define progression of ovarian cancer in patients with persistently elevated levels. Journal of clinical oncology : off icial journal of the American Society of Clinical Oncology. 2001;19(20):4054-7.
  • 41. Parker PA, Kudelka A, Basen-Engquist K, Kavanagh J, de Moor J, Cohen L. Th e associations between knowledge, CA125 preoccupation, and distress in women with epithelial ovarian cancer. Gynecologic oncology. 2006;100(3):495-500.
  • 42. Angioli R, Plotti F, Capriglione S, et al. Can the preoperative HE4 level predict optimal cytoreduction in patients with advanced ovarian carcinoma? Gynecologic oncology. 2013;128(3):579-83.
  • 43. Angioli R, Capriglione S, Aloisi A, et al. A Predictive Score for Secondary Cytoreductive Surgery in Recurrent Ovarian Cancer (SeC-Score): A Single-Centre, Controlled Study for Preoperative Patient Selection. Annals of surgical oncology. 2015;22(13):4217-23.
  • 44. Chung HH, Kwon HW, Kang KW, et al. Prognostic value of preoperative metabolic tumor volume and total lesion glycolysis in patients with epithelial ovarian cancer. Annals of surgical oncology. 2012;19(6):1966-72.
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There are 63 citations in total.

Details

Primary Language Turkish
Journal Section Collection
Authors

Murat Öz

İlker Selçuk

Zeliha Fırat Cüylan This is me

Hüseyin Akıllı This is me

Ali Ayhan

Publication Date May 21, 2018
Submission Date April 25, 2017
Published in Issue Year 2016 Volume: 19 Issue: 3

Cite

APA Öz, M., Selçuk, İ., Cüylan, Z. F., Akıllı, H., et al. (2018). REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ. Türk Jinekolojik Onkoloji Dergisi, 19(3), 99-106.
AMA Öz M, Selçuk İ, Cüylan ZF, Akıllı H, Ayhan A. REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ. TRSGO Dergisi. May 2018;19(3):99-106.
Chicago Öz, Murat, İlker Selçuk, Zeliha Fırat Cüylan, Hüseyin Akıllı, and Ali Ayhan. “REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ”. Türk Jinekolojik Onkoloji Dergisi 19, no. 3 (May 2018): 99-106.
EndNote Öz M, Selçuk İ, Cüylan ZF, Akıllı H, Ayhan A (May 1, 2018) REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ. Türk Jinekolojik Onkoloji Dergisi 19 3 99–106.
IEEE M. Öz, İ. Selçuk, Z. F. Cüylan, H. Akıllı, and A. Ayhan, “REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ”, TRSGO Dergisi, vol. 19, no. 3, pp. 99–106, 2018.
ISNAD Öz, Murat et al. “REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ”. Türk Jinekolojik Onkoloji Dergisi 19/3 (May 2018), 99-106.
JAMA Öz M, Selçuk İ, Cüylan ZF, Akıllı H, Ayhan A. REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ. TRSGO Dergisi. 2018;19:99–106.
MLA Öz, Murat et al. “REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ”. Türk Jinekolojik Onkoloji Dergisi, vol. 19, no. 3, 2018, pp. 99-106.
Vancouver Öz M, Selçuk İ, Cüylan ZF, Akıllı H, Ayhan A. REKÜRREN EPİTELYAL OVER KANSERİNİN CERRAHİ YÖNETİMİ. TRSGO Dergisi. 2018;19(3):99-106.