Birnkrant A, Sampson J, Sugarbaker P H
Dis Colon Rectum. 1986 Nov;29(11):767-71. doi: 10.1007/BF02555331.
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.
对于原发性结直肠癌女性患者的卵巢手术治疗存在争议。回顾作者的经验及外科文献发现，结直肠癌发生卵巢转移的几率约为6%。该问题在绝经前女性中可能更为常见。在结肠切除术时切除卵巢不太可能影响生存率。在肠切除时切除卵巢可防止约2%的大肠癌女性患者因卵巢肿块而再次剖腹手术。所有绝经后女性在初次切除时均应行卵巢切除术。如果在初次切除时发现卵巢有任何肉眼可见的异常或有腹膜种植，绝经前女性也应行卵巢切除术。
