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Surgery for isolated liver metastasis of ovarian cancer
Salih Pekmezci1, Kaya Saribeyoglu, Erman Aytac
1Department of General Surgery, Istanbul University, Turkey.
Background:
Few studies have been published on liver resection alone or in combination with cytoreductive surgery for liver metastases of ovarian carcinoma.
Methods:
Eight patients who underwent liver resection for metastasis of ovarian cancer were included in the study. Total abdominal hysterectomy and bilateral salpingo-oophorectomy had been performed before liver surgery in all patients. The demographic data, follow-up details before and after liver resection, histopathology of the primary ovarian cancer, type of surgery and outcome were evaluated.
Results:
The mean age of the patients was 56.1 (46-68) years. The mean hospitalization time was 8 (7-10) days. The mean disease-free interval was 5.38 years from the time of initial surgery to surgery for metastatic liver lesions, and 39 months after liver resection to secondary metastases. Four patients did not have any evidence of disease after liver surgery.
Conclusion:
Indications for liver resection should be considered in selected patients who have a limited extent of metastatic disease from ovarian carcinoma. Liver resection for metastases of ovarian carcinoma could be an effective and feasible approach.
