TY - JOUR T1 - Prognostic factors associated with brain metastases from epithelial ovarian carcinoma JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1252 LP - 1257 DO - 10.1111/j.1525-1438.2007.00941.x VL - 17 IS - 6 AU - T.-J. Kim AU - S. Song AU - C. K. Kim AU - W. Y. Kim AU - C. H. Choi AU - J.-H. Lee AU - J.-W. Lee AU - D.-S. Bae AU - B.-G. Kim Y1 - 2007/10/01 UR - http://ijgc.bmj.com/content/17/6/1252.abstract N2 - Brain metastasis from epithelial ovarian carcinoma (EOC) is managed by a multimodal treatment approach. Thus, to determine the prognostic factors associated with this situation is important for management decisions regarding the type of treatment and aggressiveness of treatment. From 1995 to 2005, 13 patients with brain metastases resulting from EOC underwent treatment at Samsung Medical Center. We retrospectively reviewed the medical records to determine prognostic factors and to evaluate treatment outcome. The median age at diagnosis for primary ovarian carcinoma and brain metastasis was 52 and 55 years, respectively. Median interval to brain metastases was 28 months after the diagnosis of EOC. At the time of analysis, nine patients had died of disease. The median survival from brain relapse was 7 months. A Karnofsky performance status of 70 or higher, primary control, solitary brain lesions, recursive partitioning analysis (RPA) class, and treatment modality including gamma-knife radiosurgery (GKRS) were related to survival on univariate analyses. Multivariate analysis showed that treatment modality including GKRS was a more important prognostic factor than RPA class (P= 0.04). This small series demonstrated that GKRS can be a valuable modality for the management of brain metastasis in patients with EOC. Therefore, a better outcome can be achieved by choosing GKRS in their treatments in selected patients. ER -