How to choose lesion removal surgery for ovarian cancer

Xiao Min, who just got married, just turned 30 this year. Although she has been experiencing increased leucorrhea and irregular vaginal bleeding, she did not care about it, thinking it was just cervical erosion. At the beginning of the year, the company organized a physical examination, and Xiao Min was diagnosed with mid-stage ovarian cancer with intestinal metastasis. Xiao Min has been worried about the upcoming surgery, fearing that it would affect her ovarian function and that the lesions could not be completely removed. She didn't know what to do.

The purpose of ovarian cancer surgery is to perform comprehensive surgical pathology staging while removing the lesion. In particular, the primary tumor and visible pelvic and abdominal metastases should be removed as much as possible, or the diameter of the residual cancer lesions should be reduced to less than 2.0 to 1.5 cm to avoid affecting the prognosis.

1. For intestinal metastasis, if the cancer mass is shallowly infiltrated, direct removal can be used. If the infiltration is deep or the mass is large, intestinal resection and anastomosis should be performed, and palliative treatment should not be performed first. For epithelial cancer, the greater omentum and appendix should also be removed.

2. If there is still 8 to 10 cm of rectum left after the sigmoid colon and rectum are removed in patients with intestinal metastasis, anastomosis should be performed if possible; if anastomosis is difficult or the tissue at the end is unhealthy, colostomy is required.

3. If the tumor metastasizes to the liver, spleen, or mediastinum, chemotherapy is usually sufficient if the tumor is small, but large tumors should be removed as much as possible. If there is lymph node metastasis, lymph node clearance should be performed, which is an important part of tumor cell reduction surgery.