Is routine appendectomy beneficial in the management of ovarian cancer?
It has been common practice for the appendix to be removed at the time of initial surgery for ovarian cancer. The reason being to avoid subsequent appendicitis. On occasions, this may be deemed inappropriate, either due to advanced age or complex surgical presentation.
This retrospective survey looked at 136 patients who had their appendix removed. 40% of patients, with high grade epithelial ovarian cancer, had evidence of metastasis of the cancer to the appendix.
Removal of the appendix is helpful for staging of the disease and complete resection of ovarian cancer.
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