title: En bloc resection of diaphragm with lung for recurrent ovarian cancer: a case report.
abstract: 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.
authors.affiliation: Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: dos Santos
authors.forename: Ippolito
authors.initials: I
authors.lastname: Modica
authors.forename: Raja M
authors.initials: RM
authors.lastname: Flores
authors.forename: Michael
authors.initials: M
authors.lastname: D'Angelica
authors.forename: Carol
authors.initials: C
authors.lastname: Aghajanian
authors.forename: Dennis S
authors.initials: DS
authors.lastname: Chi
authors.forename: Nadeem R
authors.initials: NR
authors.lastname: Abu-Rustum
mesh_terms: 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*