Introduction: The most important prognostic factor for the treatment of advanced ovarian cancer is performing optimal cytoreductive surgery. This is not possible in the cases with extra abdominal metastasis.
Aim: The aim of this study is to determine the frequency of retroperitoneal metastatic disease in ovarian cancer and thus determine the place of the radical hysterectomy in the treatment of this condition.
Materials and methods: There are 74 women with advanced ovarian cancer, who underwent radical hysterectomy class III in “Saint Anna” Hospital- Varna, Bulgaria for a period of nine years (from 2004 to 2012). The patients are divided into groups according to the grading and the histologic results.
Results: There are retroperitoneal metastasis in twenty-eight cases (37,8%) with an involvement of the parameters and the vagina. Twelve patients have proximal parameter invasion. In three cases there is the invasion of the parameters and obstruction of both ureters. In ten cases- parametrial invasion and vaginal invasion. In two cases- an invasion of parameters, protruding towards the pelvic bones and in only one case- evasion of parameters, vagina, and obstruction of both ureters.
Conclusion: Radical hysterectomy should be performed in all cases with advanced ovarian cancer for an optimal cytoreductive treatment.
Keywords: radical hysterectomy, cytoreduction, invasion