Blogger's Note: a repost
Is comprehensive surgical staging needed... [Am J Obstet Gynecol. 2012] - PubMed - NCBI
Is comprehensive surgical staging needed for thorough evaluation of early-stage ovarian carcinoma?
Abstract
OBJECTIVE:
Patients with ovarian cancer may have occult metastasis at the time of surgery. Our purpose was to determine the prevalence and sites of occult metastasis in epithelial ovarian cancer grossly confined to the ovary and examine the significance of routine omentectomy and peritoneal biopsies as part of a comprehensive staging procedure.STUDY DESIGN:
Data were retrospectively abstracted from patients presenting to University of Texas Southwestern Medical Center Hospitals from 1993 through 2009 with ovarian cancer without gross spread beyond the ovary who underwent comprehensive surgical staging.RESULTS:
A total of 86
patients with ovarian cancer grossly confined to the ovary who underwent
complete surgical staging were identified. Of patients, 29% were
upstaged following comprehensive surgical staging; 6% had metastatic
disease in uterus and/or fallopian tubes, 6% in lymph nodes, and 17% in
peritoneal, omental, or adhesion biopsies.
