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Total pelvic exenteration for pelvic recurrence after advanced epithelial ovarian cancer--A case report and literature review.

Bacalbașa N, Bălescu I - J Med Life (2015 Jul-Sep)

Bottom Line: Ovarian cancer is an aggressive disease, which, although associated with a high rate of recurrence, seems to benefit most from iterative cytoreduction.Although the main patterns of its spreading are represented by peritoneal, lymphatic or hematogenous route, local recurrences might also be seen.We present the case of a 56-year-old patient who was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior rectal wall two years and a half after a surgery for stage IIIC ovarian cancer.

View Article: PubMed Central - PubMed

Affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

ABSTRACT
Ovarian cancer is an aggressive disease, which, although associated with a high rate of recurrence, seems to benefit most from iterative cytoreduction. Although the main patterns of its spreading are represented by peritoneal, lymphatic or hematogenous route, local recurrences might also be seen. Whenever pelvic recurrence develops, complete resections based on the ultraradical principles applied in resections for pelvic recurrences originating from cervical cancer, are useful. We present the case of a 56-year-old patient who was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior rectal wall two years and a half after a surgery for stage IIIC ovarian cancer.

No MeSH data available.


Related in: MedlinePlus

The specimen: recurrent ovarian tumor with rectal and urinary bladder invasion
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Figure 4: The specimen: recurrent ovarian tumor with rectal and urinary bladder invasion

Mentions: The case of a 56-year-old patient, who was previously diagnosed with stage IIIC ovarian cancer, is presented. At that moment, a total hysterectomy with bilateral adnexectomy, omentectomy, parietal and pelvic peritonectomy were performed. Postoperatively, the patient underwent six cycles of adjuvant chemotherapy based on platinum salts and taxanes. Two years and a half after the completion of chemotherapy, the patient was investigated for pelvic pain and constipation; she was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior wall of the rectum. A total exenteration with pelvic and para-aortic lymph node dissection was performed (Fig. 1-3); the two ureters were exteriorized by end right sided cutaneous ureterostomy while the left colon was exteriorized in an end left sided colostomy. The histopathological examination of the specimen (Fig. 4) revealed the presence of a moderately differentiated serous epithelial ovarian cancer. The patient was discharged in the 11th postoperative day; at one year follow up, the patient was free of any recurrent disease.


Total pelvic exenteration for pelvic recurrence after advanced epithelial ovarian cancer--A case report and literature review.

Bacalbașa N, Bălescu I - J Med Life (2015 Jul-Sep)

The specimen: recurrent ovarian tumor with rectal and urinary bladder invasion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4556903&req=5

Figure 4: The specimen: recurrent ovarian tumor with rectal and urinary bladder invasion
Mentions: The case of a 56-year-old patient, who was previously diagnosed with stage IIIC ovarian cancer, is presented. At that moment, a total hysterectomy with bilateral adnexectomy, omentectomy, parietal and pelvic peritonectomy were performed. Postoperatively, the patient underwent six cycles of adjuvant chemotherapy based on platinum salts and taxanes. Two years and a half after the completion of chemotherapy, the patient was investigated for pelvic pain and constipation; she was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior wall of the rectum. A total exenteration with pelvic and para-aortic lymph node dissection was performed (Fig. 1-3); the two ureters were exteriorized by end right sided cutaneous ureterostomy while the left colon was exteriorized in an end left sided colostomy. The histopathological examination of the specimen (Fig. 4) revealed the presence of a moderately differentiated serous epithelial ovarian cancer. The patient was discharged in the 11th postoperative day; at one year follow up, the patient was free of any recurrent disease.

Bottom Line: Ovarian cancer is an aggressive disease, which, although associated with a high rate of recurrence, seems to benefit most from iterative cytoreduction.Although the main patterns of its spreading are represented by peritoneal, lymphatic or hematogenous route, local recurrences might also be seen.We present the case of a 56-year-old patient who was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior rectal wall two years and a half after a surgery for stage IIIC ovarian cancer.

View Article: PubMed Central - PubMed

Affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

ABSTRACT
Ovarian cancer is an aggressive disease, which, although associated with a high rate of recurrence, seems to benefit most from iterative cytoreduction. Although the main patterns of its spreading are represented by peritoneal, lymphatic or hematogenous route, local recurrences might also be seen. Whenever pelvic recurrence develops, complete resections based on the ultraradical principles applied in resections for pelvic recurrences originating from cervical cancer, are useful. We present the case of a 56-year-old patient who was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior rectal wall two years and a half after a surgery for stage IIIC ovarian cancer.

No MeSH data available.


Related in: MedlinePlus