Auszug
Das epitheliale Ovarialkarzinom ist gekennzeichnet durch die intraperitoneale Tumorausbreitung im gesamten Abdomen vom kleinen Becken bis zum Zwerchfell. Die lymphogene Dissemination erfolgt entlang dem ovariellen Gefäßbündel in die paraaortalen und über die Parametrien in die pelvinen Lymphknotenstationen (Abb. 14.2a). Bei 10% der Ovarialkarzinome findet sich eine erhebliche Peritonealkarzinose bei nur gering oder gar nicht betrofenen Ovarien. Klinisch und prognostisch entsprechen sie Ovarialkarzinomen im Stadium FIGO III. Für sie gelten die gleichen Therapiekriterien wie für das sekundär peritoneal metastasierte Ovarialkarzinom.
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Schmalfeldt, B. et al. (2009). Epitheliales Ovarialkarzinom. In: Management des Ovarialkarzinoms. Onkologie aktuell. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68857-0_14
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