En bloc resection of diaphragm with lung for recurrent ovarian cancer: a case report.
BACKGROUND
Multiple series have demonstrated the feasibility of full-thickness diaphragm resection for ovarian cancer metastatic to the diaphragm. However, direct extension of tumor into the lung is sometimes encountered, and successful resection of this type of implant has not been previously described in the gynecologic oncology literature.


METHODS
We present the first case of en bloc full-thickness diaphragm resection including a portion of lung tissue using the EndoGIA stapler with primary diaphragmatic closure.


CONCLUSIONS
En bloc full-thickness diaphragm resection including a portion of lung tissue using the EndoGIA stapler is a safe, feasible, and effective method to optimize cytoreduction with disease-free margins in the context of invasive diaphragmatic ovarian cancer metastasis.
dos Santos
Lisa A
LA
Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
Modica
Ippolito
I
Flores
Raja M
RM
D'Angelica
Michael
M
Aghajanian
Carol
C
Chi
Dennis S
DS
Abu-Rustum
Nadeem R
NR
D003964:Diaphragm / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D011013:Pneumonectomy; D013899:Thoracic Neoplasms / Q000556:secondary*