OVARIAN METASTASIS FROM CERVICAL-CARCINOMA

Objective: To study the prognosis and metastatic route of cervical car cinoma with ovarian metastasis. Method: From 1980 to 1993, 10 of the 1 507 patients with cervical carcinoma operated and who had ovarian meta stasis were analyzed. Results: Six patients had squamous cell carcinom as and 4 patients had adenocarcinomas. Their mean age was 45 years. Si x of 9 patients undergoing pelvic lymphadenectomy had nodal metastasis . One patient did not have nodal dissection in the treatment course. F ive of 10 patients had involvement of corpus: 3 were accompanied with nodal metastasis, 1 was not and 1 other was unknown. None of our cases survived more than 5 years. Their mean survival time was 20.8 months for squamous cell carcinomas and 29 months for adenocarcinomas. Conclu sions: (1) Ovarian metastasis is histologically one of the ominous sig ns of cervical carcinomas regardless of stage. The prognosis of patien ts with ovarian metastasis from cervical squamous cell carcinoma from our data is not different from those from cervical adenocartinoma. (2) Lymphatic spread and transtubal implantation are possible pathways of cervical cancer metastasizing to ovary, and involvement of the corpus may potentiate this mechanism. (C) 1997 International Federation of G ynecology and Obstetrics.