JCIS

Journal of Clinical and Investigative Surgery
ISSN: 2559-5555

DPSM
 

Extended upper abdominal resections as part of debulking surgery at the time of tertiary cytoreduction for relapsed ovarian cancer; case report and literature review

Nicolae Bacalbașa1, Irina Balescu2

1Carol Davila University, Department of General Surgery, Bucharest, Romania
2Ponderas Clinical Hospital, Department of General Surgery, Bucharest, Romania


J Clin Invest Surg. 2017; 2(2): 75-80. DOI: 10.25083/2559.5555.22.7580
Running title: Upper abdominal resections in relapsed ovarian cancer
Keywords: advanced stage ovarian cancer, tertiary cytoreduction, debulking surgery


Abstract

Ovarian cancer remains one of the most aggressive gynecologic malignancies with high capacity to recur even in cases submitted to surgery with curative intent. However, even in these cases the best therapeutic option in order to achieve a good control of the disease remains radical surgery.

We present the case of a 65-year-old patient diagnosed submitted to surgery for stage IIIC ovarian cancer five years before. At two years follow up she was diagnosed with an isolated recurrence at the level of the hepatic pedicle which was successfully removed. At 18 months follow up she was diagnosed with a large recurrence in the left superior abdominal quadrant and a liver metastasis which were resected. At 18 months follow up she is free of recurrent disease.

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