Edwards James M, Lowery William Jeffrey, Secord Angeles Alvarez
Duke University Medical Center, Durham, USA.
J Surg Case Rep. 2012 Jul 1;2012(7):7. doi: 10.1093/jscr/2012.7.7.
We report a case of optimal quinary debulking for recurrent papillary serous carcinoma of the ovary involving the liver parenchyma through the full thickness of the diaphragm into the lung parenchyma. Multiple debulking procedures for ovarian cancer are controversial, especially when there is extensive upper abdominal or thoracic disease. Selection criteria for such extensive surgery include: good functional status, long disease-free interval, and absence of other systemic disease. Our patient tolerated her procedure well without evidence of residual disease over 6 months postoperatively.
我们报告了一例复发性卵巢乳头状浆液性癌的最佳五期减瘤手术病例，该肿瘤累及肝实质，穿过膈肌全层侵入肺实质。卵巢癌的多次减瘤手术存在争议，尤其是当存在广泛的上腹部或胸部疾病时。这种广泛手术的选择标准包括：良好的功能状态、较长的无病间期以及无其他全身性疾病。我们的患者对手术耐受良好，术后6个月无残留疾病迹象。
