After complete resection of ovarian cancer, where is the most likely site of recurrence?
Apr 06, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
After complete resection of ovarian cancer, common sites for recurrence are generally the pelvic cavity, abdominal cavity, and liver. Complete resection of ovarian cancer refers to the surgical removal of the ovaries, uterus, and other reproductive organs. However, if cancer cells have already spread before surgery, recurrence is more likely, particularly in the pelvic region due to its proximity to the original tumor site.
Ovarian cancer commonly recurs in areas such as the pelvic cavity, abdominal cavity, and liver after a complete resection.
1. Pelvic Cavity
Ovarian cancer is one of the most common malignant tumors affecting female reproductive organs. A complete resection for ovarian cancer refers to surgical removal of the ovaries, uterus, and other reproductive tissues, primarily aimed at controlling the spread of cancer cells. However, if cancer cells have already metastasized before surgery, recurrence is more likely in the pelvic cavity due to its proximity to the original tumor site.
2. Abdominal Cavity
If patients do not actively cooperate with doctors for adjuvant therapy after surgery, residual cancer cells may stimulate soft tissues in the abdominal cavity, leading to fluid exudation and ascites formation, which can result in cancer recurrence in the abdominal region.
3. Liver
The liver has a dense network of blood vessels and high blood flow. Once cancer cells enter the bloodstream, they may travel to the liver and proliferate extensively, causing recurrence of ovarian cancer even after complete resection.
After treatment, patients should regularly return to the hospital for follow-up examinations. If symptoms such as persistent fever, abnormal bowel movements, or loss of appetite frequently occur, timely medical intervention is necessary—delaying treatment could worsen the condition.
