Table 1:
Characteristics of Unsuspected Invasive Neoplastic Lesions of the Ovary and Fallopian Tube Found On Pathological Examination Of 15 BRCA1 and BRCA2 Mutation Carriers Undergoing Prophylactic RRSO
| Center | Patient | Age RRSO | BRCA1/2 Mutation | CA125 | USS | Site of Lesion | Cytology | Path: 2–4mm | Complete Staging including nodes | Invasive stage | 1ry Disease CXT | Cycles | Recurrence | Presentation | Site of Recurrence | DFI | Status | OS | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OV | FT | ||||||||||||||||||
| 1 | 1 | 50 | BRCA1 | 12 | NR | √ | negative | cuts No | Yes | 2c | C/T | 6 | Yes | Routine CT | Liver metastases | 34 | DECEASED | 57 | |
| 2 | 59 | BRCA1 | 10 | NR | √ | √ | negative | Yes | Yes | 1c | C/T | 6 | 0 | 86 | DECEASED | 86 | |||
| 3 | 52 | BRCA1 | ND | 3cm simple cyst | √ | positive | Yes | Yes | 3c | RT | 0 | NED | 148 | ||||||
| 4 | 48 | BRCA1 | ND | ND | √ | negative | Yes | Yes | 2c | C/T | 3 | Yes | Patient noted mass | Isolated groin mass | 29 | AWD | 105 | ||
| 5 | 43 | BRCA1 | 54 | 2 cm cyst | √ | √ | positive | Yes | No | 2c | C/T | 6 | 0 | NED | 77 | ||||
| 2 | 6 | 50 | BRCA2 | 12 | 7cm L cyst1 | √ | negative | Yes | No | 1a | C/T | 3 | 0 | NED | 172 | ||||
| 7 | 53 | BRCA2 | 7 | NAD | √ | negative | Yes | Yes | 1a | C/T | 6 | 0 | NED | 88 | |||||
| 8 | 52 | BRCA1 | 9 | NAD | √ | positive | Yes | Yes | 1c | C/T | 6 | 0 | NAD | 101 | |||||
| 9 | 49 | BRCA1 | 8 | 1.5 cm L 1.4 cm R cyst | √ | negative | Yes | No | 1a | NT | Yes | Serial Ca125 elevated | Omental deposits | 83 | AWD | 143 | |||
| 10 | 44 | BRCA1 | 17 | 2.3 cm L cyst | √ | √ | positive | Yes | Yes | 3c | C/T | 6 | 0 | NED | 45 | ||||
| 3 | 11 | 63 | BRCA1 | 5 | NAD | √ | positive | Yes | No | 1c2 | C/T | 6 | Yes | Serial Ca125 elevated | Pelvis | 17 | DECEASED | 150 | |
| 12 | 49 | BRCA1 | 8503 | NAD | √ | √ | positive | Yes | Yes | 3c | C/T/LD | 6 | Yes | Serial Ca125 elevated | Unknown | 31 | DECEASED | 121 | |
| 13 | 39 | BRCA1 | 4 | NAD | √ | negative | Yes | No | 1a | C/T | 6 | Yes | Bloating, early satiety, nausea | Peritoneal secondaries, positive nodes and ascites | 47 | AWD | 71 | ||
| 14 | 50 | BRCA1 | 27 | Questionable solid lesion L ovary | √ | negative | Yes | Yes | 1a | C/T | 6 | Yes | Serial Ca125 elevated | Isolated periaortic lymph node | 24 | NED | 66 | ||
| 15 | 39 | BRCA1 | 15 | ND | √ | negative | Yes | Yes4 | 1a | C/T | 3 | 0 | NED | 59 | |||||
Key: RRSO risk reducing salpingo-oophorectomy NAD no abnormality detected NR no record ND not done CXT chemotherapy C carboplatin T taxane NT not treated DFI disease free interval [months] OS overall survival [months] AWD alive with disease NED no evidence of disease ND not done Path: Yes = entire fallopian tubes and ovaries submitted for 2–4 millimeter cross-sectional cuts of specimen, No: entire tubes were submitted but 8 slides were performed on left and 4 on right, with no note of microsectioning.
Neoplasia on opposite side from ultrasound finding
Staged after 3 cycles of CXT
CA125 result obtained day after RRSO
Staged after 3 cycles of CXT