Ovarian carcinoma with bowel infiltration spread like colon carcinoma – consequences for surgical treatment

Aims: About 20–25% of patients with advanced ovarian cancer (OCX; FIGO-stage IIB-IV) need bowel resection for optimal tumor debulking (DuBois et al 2005). But, additional intestinal surgery in these patients might be affected by surgical complications and post-operative morbidity. The study examines the occurrence of mesenteric lymph node metastases in correlation to the depth of infiltration of OCX into the bowels wall and the detection of lymphovascular space involvement (LVSI). Methods: The histologic slides of 29 cases of OCX with additional bowel resection were re-examined regarding the infiltration of the…