IMR Press / EJGO / Volume 31 / Issue 1 / pii/1630984342098-717516976

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Uterine involvement in advanced epithelial ovarian cancer
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1 Gynecology Oncology Department, Vali-Asr Hospital, Tehran University of Medical Sciences, Tehran (Iran)
2 Gynecology Oncology Department, Shahid Sadoughi University of Medical Science, Yazd (Iran)
3 Gynecology Oncology Department, Kerman University of Medical Sciences, Kerman (Iran)
Eur. J. Gynaecol. Oncol. 2010, 31(1), 99–101;
Published: 10 February 2010
Abstract

Background: With an increasing trend for sparing fertility in gynecologic malignancies, we tried to assess uterine involvement in all stages of epithelial ovarian cancer (EOC) in an evidence-based study. Method and Material: From September 1999 to September 2005, 177 patients with epithelial ovarian cancer underwent staging laparatomy in the Gynecologic Oncology Department, Vali Asr University Hospital, Tehran, Iran. Staging data from patient files and pathologic reports were analyzed. Result: Of the 177 cases with EOC, 26% of patients were in Stage I, 13.6% Stage II, 53.1% Stage III and 7.3% Stage IV. Uterine Involvement was 17.9% with serosal involvement in 25 cases (78.1%) and myometrial involvement in seven cases (21.9%). Of these cases 84.4% were in Stages III or more and all had omental involvement (Stage IIIa 7.4%, Stage IIIb 14.8%, Stage IIIc 63% and Stage IV 14.8%). Only 15.6% cases of normal appearing omentum had uterine tumoral involvement. Conclusion: Only eight cases had myometrial involvement out of 177 cases of EOC (all in Stage III). All the eight patients had omental or gross pelvic tumoral involvement. In this study we found that in the absence of gross pelvic or omental involvement in EOC, there is really none or minimal chance of myometrial involvement. Future multicenter studies with more cases will show whether standard hysterectomy by multiple serosal biopsies could be replaced.
Keywords
Epithelial ovarian cancer
Conservative surgery
Uterine involvement
Omental cake
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