• Z Peng, X Pan, and H Liu.
• Department of Obstetrics and Gynecology, Second Affiliated Hospital, West China University of Medical Sciences, Chengdu 610041.
• Zhonghua Zhong Liu Za Zhi. 1999 Mar 1; 21 (2): 142-4.

ObjectiveTo investigate the value and feasibility of surgical excision of gastro-intestinal metastatic tumors in patients with ovarian malignancy.MethodsThe surgical and clinical data were retrospectively reviewed in 131 cases of ovarian malignant tumor with surgically excised gastrointestinal metastasis (> or = 2 cm in diameter).ResultsOvarian malignant tumor with gastro-intestinal metastasis accounted for 28.9% of the patients with primary ovarian malignancies in the same time period. Of the 131 cases, 126(93.9%) were in stage III and IV. The treatment was surgical excision combined with chemotherapy. Of the 141 operations, 83 (58.9%) were done by stripping of tumors on the gastro-intestinal wall and repair, 31(22.0%) received resection of the involved segment of the bowel with anastomosis, 27(19.2%) with colostomies. Postoperative complications occurred in 26.9% of the operated patients. The overall 2- and 5-year survival rate was 79.7% and 42.5%, respectively.ConclusionSurgical excision of gastro-intestinal tumors metastasized from primary ovarion malignancies is feasible to achieve cytoreduction. Prognosis can be improved when combined with chemotherapy.

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