Surgical treatment for pulmonary metastasis from ovarian cancer: a retrospective case series

  • 0Department of Surgery, The Jikei University School of Medicine, Nishishinbashi 3-19-18, Minatoku, Tokyo, 105-8471, Japan.

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Summary

This summary is machine-generated.

Pulmonary metastasectomy for ovarian cancer is rare. While all patients survived over 30 months, recurrence was common, suggesting elevated CA125 levels may contraindicate surgery.

Area Of Science

  • Oncology
  • Surgical Oncology
  • Gynecologic Oncology

Background

  • Pulmonary metastases from ovarian cancer are uncommon and surgical intervention effectiveness is uncertain.
  • This study investigates clinicopathologic features and outcomes of ovarian cancer patients undergoing pulmonary metastasis resection.

Purpose Of The Study

  • To evaluate the outcomes of surgical resection for pulmonary metastases in ovarian cancer patients.
  • To identify potential predictive factors for successful pulmonary metastasectomy in ovarian cancer.

Main Methods

  • Retrospective analysis of 537 patients undergoing pulmonary metastasis resection.
  • Inclusion of four ovarian cancer patients who underwent radical surgery for pulmonary metastases between 2010-2021.
  • Analysis of patient demographics, time to metastasis, survival, recurrence, and preoperative CA125 levels.

Main Results

  • Four patients (0.74%) underwent pulmonary metastasectomy for ovarian cancer.
  • Survival post-pulmonary metastasectomy ranged from 34 to 94 months.
  • Three patients recurred post-surgery; elevated CA125 levels were observed in deceased patients.

Conclusions

  • Pulmonary metastasectomy in ovarian cancer patients resulted in long-term survival but frequent recurrence.
  • Elevated preoperative CA125 levels may indicate poor candidacy for pulmonary metastasectomy.
  • Larger cohort studies are needed to establish criteria for pulmonary metastasectomy in ovarian cancer.