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Partial resection of the sixth segment of the liver in a young woman with recurrent ovarian cancer – case report

Paweł Knapp1, Piotr Bernaczyk2, Alicja Szyłejko3

Affiliacja i adres do korespondencji
Curr. Gynecol. Oncol. 2014, 12 (3), p. 225–232
DOI: 10.15557/CGO.2014.0020
Streszczenie

Ovarian cancer and its course are still one of the most important issues in gynecologic oncology. Understanding the biology of this disease and the possibility of using many adjuvant treatment options to the basic chemotherapy has transformed the disease from a previously lethal into a chronic condition. The mainstay of treatment of advanced stage (FIGO III/IV) ovarian cancer includes currently without a doubt a radical operative procedure involving not only the minor pelvis, but also the abdomen, especially upper abdominal surgery. The above mentioned new insight into the biology of this neoplasm and multicentered studies have led to the improvement of many operative protocols, with a requirement to excise the mass up to the point of macroscopically invisible “remnants of the disease” (T = 0 cm). One of the more common locations of recurrence in patients with advanced ovarian cancer is the liver. Due to the recent development of the approach to liver resection, especially with regard to metaplastic tumors, doctors of various specialties dealing with oncological surgery, including gynecologic oncologists, have been performing this procedure more and more frequently. This is a component of therapy which has a statistically significant impact on patient survival rates. This study presented a case of a 34-year-old female patient, who was operated on at the Department of Gynecology and Gynecologic Oncology of the Medical University in Bialystok for a recurrence of ovarian cancer – the patient underwent partial resection of the liver.

Słowa kluczowe
ovarian cancer, recurrence of neoplastic disease, partial resection of the liver, radical procedure, surgery of the upper abdomen