title: Abdominal aortic resection and Y-graft placement to achieve complete cytoreduction in stage IIIc ovarian carcinoma.
abstract: BACKGROUND
  Major vascular resection with reconstruction in patients with gynecologic malignancy is rarely performed and infrequently reported.
  
  
  METHODS
  A 40-year-old woman undergoing surgery for stage IIIc ovarian papillary serous adenocarcinoma was left with a 7-cm aortic metastasis not separable from the infrarenal abdominal aorta. An aortic resection with prosthetic graft placement was performed to achieve complete tumor resection. She remains disease-free in excess of 10 years with no evidence of graft complication.
  
  
  CONCLUSIONS
  Major vascular reconstructive procedures for the management of malignancy need not be precluded in properly selected circumstances.
authors.affiliation: Department of Gynecologic Oncology, Southern California Permanente Medical Group, Los Angeles Medical Center, and the Divisions of Gynecologic Oncology and Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Scott E
authors.initials: SE
authors.lastname: Lentz
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Tierney
authors.forename: Fred A
authors.initials: FA
authors.lastname: Weaver
authors.forename: Lynda D
authors.initials: LD
authors.lastname: Roman
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D001012:Aorta, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000601:surgery*