Rationale of bilateral oophorectomy concomitant with resection for carcinoma of the rectum and colon

Barr, Samuel S.; Valiente, Miguel A.; Bacon, Harry E.

doi:10.1007/bf02616650

Cited by 17 publications

(2 citation statements)

References 6 publications

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“…The incidence of occult carcinoma in the ovaries of all women treated surgically for CRC is 7% with the highest incidence in Duke's Stage C 1esi0ns.I~ It was reported that 17 patients underwent presumably curative resections for CRC, and metastatic disease to the ovaries was found in 8 patients. 22 Ovarian metastases were seen in 7.4% of another series of patients.23 However, in this study, the incidence of ovarian metastases in premenopausal women was alarmingly high (25%). Based on these data, it was concluded that the high incidence of ovarian metastases and the higher cure rates among women with microscopic metastases found at prophylactic oophorectomy warrant this procedure in all women with CRC regardless of their age.23…”

Section: Oophorectom Ymentioning

confidence: 52%

Operative treatment of colorectal cancer

Abcarian

1992

Cancer

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Principles of radical surgery for curative treatment of colon and rectal cancer are based on 5‐year survival and 2‐year local recurrence rates. Depth of invasion, cellular differentiation, vascular invasion, and the location and number of lymph node metastasis influence the 5‐year survival rate. Age, type of resection, obstruction or perforation of the primary tumor, and the surgeon's technique influence the 2‐year local recurrence rate. Accordingly, high ligation of major vascular pedicle, tumor‐free margins, resection of contiguous organs, and oophorectomy should improve survival and an additional benefit may be derived from complete excision of distal mesorectum and the “no–touch isolation technique”.

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Section: Oophorectom Ymentioning

confidence: 52%

Operative treatment of colorectal cancer

Abcarian

1992

Cancer

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“…The incidence of occult metastatic colorectal carcinoma in ovaries of all women receiving surgery for colorectal cancer has been reported to be 70/0 with the highest incidence in Dukes' C lesions. Barr and co-workers [25] reported 17 patients who had presumably curative resections. They found metastatic disease to the ovaries in eight patients.…”

Section: Oophorectomymentioning

confidence: 99%

Technical considerations in the surgical treatment of colon and rectal cancer

Fengler

Pearl

1994

Seminars in Surgical Oncology

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Surgery is the primary mode of therapy for colorectal cancer. Advances beyond exteriorization began to appear at the end of the nineteenth century. The antibiotic era brought on more advances. Dogma abounds with respect to the technical aspects of surgery for colon and rectal cancer and few randomized, prospective trials have been done to evaluate the importance of these techniques. Firmly established are the techniques of resection of lymphatic drainage of tumors, en bloc resection of invaded structures, and obtaining at least 2 cm margins of rectal cancers. Radical lymph node dissection, luminal ligation, oophorectomy, and the "No-Touch Technique" are discussed. Despite the paucity of irrefutable scientific data to support many of the described surgical techniques, differences in outcome between surgeons suggest that technique is important. There is great need for randomized, prospective trials to evaluate the multitude of techniques described for the surgical treatment of colorectal cancer.

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