Massive diaphragmectomy combined with pericardiectomy for ovarian cancer: a case report

IF 1.3 Q3 OBSTETRICS & GYNECOLOGY

Gynecologic Oncology Reports Pub Date : 2025-08-19 DOI:10.1016/j.gore.2025.101928

Yuanyuan Guo , Liang Chen , Jianlei Wu , Fang Zhang , Yan Wang , Nuo Xu

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Abstract

Introduction

Ovarian cancer metastasis to the pericardium is rare. Surgical resection of such metastases is exceptionally uncommon, with only limited cases reported in the literature.

Case Report

We report a case of platinum-sensitive recurrent ovarian cancer treated with surgical resection, including massive diaphragmectomy and pericardiectomy. The surgery involved removing an 8 cm diaphragmatic lesion and a 5 cm pericardial defect, which was intentionally enlarged to 7 cm to prevent incarceration. A patch repair was used for the large diaphragm defect. Postoperatively, the patient recovered well and subsequently underwent chemotherapy and targeted therapy without complications.

Conclusion

Ovarian cancer metastasis to the central tendon of the diaphragm can involve the pericardium, requiring complex and high-risk surgery. Such cases necessitate a multidisciplinary approach led by a team of experienced gynecologic oncologists.

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大块横膈膜切除术联合心包切除术治疗卵巢癌1例

卵巢癌转移到心包是罕见的。手术切除这种转移是非常罕见的，只有有限的病例报道在文献中。病例报告我们报告一例铂敏感复发性卵巢癌的手术治疗，包括大面积膈切除术和心包切除术。手术包括切除一个8厘米的横膈膜病变和一个5厘米的心包缺损，该缺损被有意扩大到7厘米以防止嵌顿。大膈缺损采用补片修复。术后患者恢复良好，随后接受化疗和靶向治疗，无并发症。结论卵巢癌横膈膜中心腱转移可累及心包，手术操作复杂，手术风险高。此类病例需要由经验丰富的妇科肿瘤学家团队领导的多学科方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gynecologic Oncology Reports OBSTETRICS & GYNECOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

183

审稿时长

41 days

期刊介绍： Gynecologic Oncology Reports is an online-only, open access journal devoted to the rapid publication of narrative review articles, survey articles, case reports, case series, letters to the editor regarding previously published manuscripts and other short communications in the field of gynecologic oncology. The journal will consider papers that concern tumors of the female reproductive tract, with originality, quality, and clarity the chief criteria of acceptance.