TY - JOUR
T1 - The evaluation of the omentum in ovarian cancer
AU - Steinberg, J. J.
AU - Demopoulos, Rita I.
AU - Bigelow, Bradley
N1 - Funding Information:
’ Supported by The Kaplan Cancer Center Support (Core) Grant CA 16087 from the National Cancer Institute. ’ Appeared in part in the Proceedings of the American Society of Clinical Oncology, 1984. ’ Present address: Department of Pathology F-538 Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461; Fellow, National Service Research Award. DBHS Grant GM0 7552. 4 To whom correspondence and reprint requests should be addressed: Ob/Gyn Pathology, New York University Medical Center, 550 First Avenue. New York, New York 10016.
PY - 1986/7
Y1 - 1986/7
N2 - Little published data exists on omental evaluation in ovarian cancer. In a retrospective study we reviewed 334 consecutive operations for adnexal masses; 159 had ovarian cancer, and 119 omentectomies were performed, with complete information available on 109. Mean omentectomy was 203.5 cm2 (normal omentum = 792 cm2) and 190 g, with a significant correlation of weight to size. Secondary ovarian cancer was present in 66 omenta (61%). All 32 omenta examined in the pathology laboratories and described as grossly involved with tumor had ovarian cancer histologically. Of the 55 grossly negative omenta, 12 had histologically proven tumor (22%). Slide review of the grossly negative, histologically positive omenta revealed the mean tumor diameter to measure 6.7 mm. Lymph node dissection occurred in 16 patients and was positive in 10, with simultaneous absence of tumor in the omenta of 3 of these patients. Conversely, 2 patients with positive omenta had negative lymph nodes. The optimal extent of omental resection and histological examination remains undertermined.
AB - Little published data exists on omental evaluation in ovarian cancer. In a retrospective study we reviewed 334 consecutive operations for adnexal masses; 159 had ovarian cancer, and 119 omentectomies were performed, with complete information available on 109. Mean omentectomy was 203.5 cm2 (normal omentum = 792 cm2) and 190 g, with a significant correlation of weight to size. Secondary ovarian cancer was present in 66 omenta (61%). All 32 omenta examined in the pathology laboratories and described as grossly involved with tumor had ovarian cancer histologically. Of the 55 grossly negative omenta, 12 had histologically proven tumor (22%). Slide review of the grossly negative, histologically positive omenta revealed the mean tumor diameter to measure 6.7 mm. Lymph node dissection occurred in 16 patients and was positive in 10, with simultaneous absence of tumor in the omenta of 3 of these patients. Conversely, 2 patients with positive omenta had negative lymph nodes. The optimal extent of omental resection and histological examination remains undertermined.
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U2 - 10.1016/0090-8258(86)90309-4
DO - 10.1016/0090-8258(86)90309-4
M3 - Article
C2 - 3721304
AN - SCOPUS:0022547382
SN - 0090-8258
VL - 24
SP - 327
EP - 330
JO - Gynecologic Oncology
JF - Gynecologic Oncology
IS - 3
ER -
