Total pelvic exenteration for pelvic recurrence after advanced epithelial ovarian cancer--A case report and literature review.
Ovarian cancer is an aggressive disease, which, although associated with a high rate of recurrence, seems to benefit most from iterative cytoreduction. Although the main patterns of its spreading are represented by peritoneal, lymphatic or hematogenous route, local recurrences might also be seen. Whenever pelvic recurrence develops, complete resections based on the ultraradical principles applied in resections for pelvic recurrences originating from cervical cancer, are useful. We present the case of a 56-year-old patient who was diagnosed with a pelvic recurrence invading both the urinary bladder and the anterior rectal wall two years and a half after a surgery for stage IIIC ovarian cancer.
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
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Bacalbașa
"Ponderas" Hospital, Bucharest, Romania.
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Bălescu
D000077216:Carcinoma, Ovarian Epithelial; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery*; D009367:Neoplasm Staging; D009375:Neoplasms, Glandular and Epithelial / Q000473:pathology* / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology* / Q000601:surgery*; D010385:Pelvic Exenteration; D012007:Rectum / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery
advanced stage ovarian cancer; pelvic recurrence; total exenteration