✦ LIBER ✦

Colon carcinoma metastatic to the ovary

✍ Scribed by Josh C. Tunca; James R. Starling; Gholam R. Hafez; Dolores A. Buchler

Publisher: John Wiley and Sons
Year: 1983
Tongue: English
Weight: 295 KB
Volume: 23
Category: Article
ISSN: 0022-4790
DOI: 10.1002/jso.2930230411

No coin nor oath required. For personal study only.

✦ Synopsis

We reviewed 17 patients with colon carcinoma metastatic to the ovary seen from 1970-1980. This represents 2.5% of the total malignant ovarian neoplasms seen during this time period. In 3/17 patients, exploratory celiotomy was performed without preoperative barium enema, stool for occult blood, or colonoscopy. These patients subsequently were found to have a primary colon carcinoma. Colectomy was performed in 8/17 of our patients without prophylactic oophorectomy. All of these patients subsequently developed metastatic ovarian carcinoma. Long-term survival in our series was dismal. We recommend (1) a compulsary colon examination to include colonoscopy prior to surgery for ovarian masses, and (2) prophylactic bilateral salphingo-oophorectomy at the time of colectomy for colon carcinoma.

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