Premium
Colon carcinoma metastatic to the ovary
Author(s) -
Tunca Josh C.,
Starling James R.,
Hafez Gholam R.,
Buchler Dolores A.
Publication year - 1983
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930230411
Subject(s) - medicine , barium enema , colonoscopy , ovarian carcinoma , colectomy , ovary , carcinoma , metastatic carcinoma , colon carcinoma , oophorectomy , colorectal cancer , surgery , oncology , hysterectomy , ovarian cancer , cancer
Abstract We reviewed 17 patients with colon carcinoma metastatic to the ovary seen from 1970–1980. This represents 2.5% of the total malignant ovarian neoplasms seen during this time period. In 3/17 patients, exploratory celiotomy was performed without preoperative barium enema, stool for occult blood, or colonoscopy. These patients subsequently were found to have a primary colon carcinoma. Colectomy was performed in 8/17 of our patients without prophylactic oophorectomy. All of these patients subsequently developed metastatic ovarian carcinoma. Long‐term survival in our series was dismal. We recommend (1) a compulsary colon examination to include colonoscopy prior to surgery for ovarian masses, and (2) prophylactic bilateral salphingo‐oophorectomy at the time of colectomy for colon carcinoma.