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Ovarian metastasis from colorectal cancer

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Diseases of the Colon & Rectum

Abstract

Controversies exist regarding the surgical treatment of the ovaries in women with primary colorectal cancer. A review of the authors' experience and the surgical literature reveals an incidence of ovarian metastases from colorectal cancer of approximately 6 percent. This problem may occur somewhat more frequently in premenopausal women. Resection of the ovaries at the time of colectomy is unlikely to affect survival. Removal of the ovaries at the time of bowel resection will prevent repeat laparotomy to resect an ovarian mass in approximately 2 percent of women with large bowel cancer. Oophorectomy should be performed in all postmenopausal females at the time of primary resection. Oophorectomy should be performed in premenopausal women if any gross abnormality of the ovary is detected or if peritoneal implants are seen at the time of primary resection.

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Authors and Affiliations

  1. Colorectal Cancer Section, Surgery Branch, DCT, NCI, National Institutes of Health, Bethesda, Maryland

    Alan Birnkrant M.D., Joan Sampson M.D. &  Paul H. Sugarbaker M.D.

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  1. Alan Birnkrant M.D.
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  2. Joan Sampson M.D.
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  3. Paul H. Sugarbaker M.D.
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Birnkrant, A., Sampson, J. & Sugarbaker, P.H. Ovarian metastasis from colorectal cancer. Dis Colon Rectum 29, 767–771 (1986). https://doi.org/10.1007/BF02555331

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  • DOI: https://doi.org/10.1007/BF02555331

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