Neuroendocrine metastases to the ovaries are significantly associated with small bowel neuroendocrine tumors and carcinomatosis
| Autor: | Su Ellen J. Pommier, Kristen E. Limbach, Elizabeth N. Dewey, Rodney F. Pommier, Enrique J. León |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Ovariectomy medicine.medical_treatment Ovary Neuroendocrine tumors Gastroenterology 03 medical and health sciences 0302 clinical medicine Stomach Neoplasms Internal medicine Intestinal Neoplasms Intestine Small Humans Medicine Survival rate Ovarian Neoplasms Lung business.industry Medical record Carcinoma Oophorectomy General Medicine Middle Aged medicine.disease Pancreatic Neoplasms Neuroendocrine Tumors medicine.anatomical_structure 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Surgery business Intestinal Obstruction Ureteral Obstruction |
| Zdroj: | The American Journal of Surgery. 219:795-799 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2020.02.040 |
| Popis: | Introduction Neuroendocrine tumors (NETs) metastatic to the ovary are traditionally considered rare, but data are lacking. This study seeks to better characterize the prevalence and outcomes of patients with neuroendocrine ovarian metastases (NOM). Methods Women with well-differentiated lung and gastroenteropancreatic NETs 2007–2017 were identified by medical record query. Clinicopathologic data were reviewed among patients with and without NOM. Results Of 242 patients, 27 (11.2%) developed NOM. NOM developed in 24.8% of SBNET patients and 65.7% of patients with carcinomatosis and intact ovaries. 33.3% had associated small bowel obstructions; 11.1% had ureteral obstruction. NOM were not apparent on imaging in 29.6% nor visible intraoperatively in 8.3%. Five-year survival rate was 61.5%. Those who underwent oophorectomy had a lower rate of subsequent ureteral obstruction (p Conclusions NOM are more prevalent than previously reported and associated with significant morbidity. Empiric oophorectomy may be considered for SBNET patients and strongly advised in carcinomatosis. |
| Databáze: | OpenAIRE |
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