Transthoracic Transdiaphragmatic Resection for Liver Metastasis of Ovarian Carcinosarcoma with Invasion of Right Hemidiaphragm and Lung.
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Case report
P: 130-133
2015

Transthoracic Transdiaphragmatic Resection for Liver Metastasis of Ovarian Carcinosarcoma with Invasion of Right Hemidiaphragm and Lung.

Acta Haematol Oncol Turc 2015;48(3):130-133
1. Department Of Thoracic Surgery, Ankara Oncology Training And Research Hospital, Ankara, Turkey
2. Department of General Surgery, Ankara Oncology Training and Research Hospital, Ankara, Turkey
3.
No information available.
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Received Date: 2015-05-18T10:46:16
Accepted Date: 2015-12-10T14:16:45
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Abstract

Although hepatic metastasectomy is well established for colorectal and neuroendocrine tumors, the treatment of hepatic metastases from other sites is not well defined. We present a case of ovarian carcinosarcoma with liver metastasis that invaded the right hemidiaphragm and lower lobe of right lung. En bloc transthoracic lung, right hemidiaphragm and liver resection was performed without using an abdominal incision. The patient survived nearly 2.5 years (27 months) after this surgery. Synchronous hepatic and pulmonary metastasectomies can be recommended for the metastatic tumors from the primary gynecologic malignancies. This procedure can be done with low morbidity, mortality rates and prolonges survival. Inspite of the limited experience, the choice of transthoracic synchronous pulmonary and hepatic metastasectomy should be remembered for the patients with subdiapragmatic liver and right sided lung metastasis.

Keywords:
Ovarian carcinosarcoma
synchronous
liver
lung
metastasectomy