The surgical treatment of thoracic metastases in ovarian cancer

Romanian Journal of Medical Practice | Vol. X, No. 2 (39), 2015

ISSN 1842-8258 | e-ISSN 2069-6108
ISSN-L 1842-8258
DOI: 10.37897/RJMP

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Alice SAVESCU, Irina BALESCU and Nicolae BACALBASA

ABSTRACT

Ovarian cancer still represents one of the most aggressive malignancies affecting women worldwide. Unfortunately many patients are still diagnosed in an advanced stage of the disease when distal metastases are already present. When it comes to thoracic involvement in advanced stage ovarian cancer, this may develop via peritoneal, hematogenous and lymphatic route. This is a literature review of the most commonly seen involvements in ovarian cancer and of the most appropriate surgical procedures which might be performed in order to increase the rate of complete cytoreduction.

Keywords: advanced stage ovarian cancer, peritoneal seeding, metastasectomy, diaphragmatic resection, supradiaphragmatic lymphadenectomy

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