Colon carcinoma metastatic to the ovary.
We reviewed 17 patients with colon carcinoma metastatic to the ovary seen from 1970-1980. This represents 2.5% of the total malignant ovarian neoplasms seen during this time period. In 3/17 patients, exploratory celiotomy was performed without preoperative barium enema, stool for occult blood, or colonoscopy. These patients subsequently were found to have a primary colon carcinoma. Colectomy was performed in 8/17 of our patients without prophylactic oophorectomy. All of these patients subsequently developed metastatic ovarian carcinoma. Long-term survival in our series was dismal. We recommend (1) a compulsary colon examination to include colonoscopy prior to surgery for ovarian masses, and (2) prophylactic bilateral salphingo-oophorectomy at the time of colectomy for colon carcinoma.
D000328:Adult; D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000556:secondary* / Q000601:surgery; D011379:Prognosis