Massive diaphragmectomy combined with pericardiectomy for ovarian cancer: a case report.

INTRODUCTION

Ovarian cancer metastasis to the pericardium is rare. Surgical resection of such metastases is exceptionally uncommon, with only limited cases reported in the literature.

CASE REPORT: We report a case of platinum-sensitive recurrent ovarian cancer treated with surgical resection, including massive diaphragmectomy and pericardiectomy. The surgery involved removing an 8 cm diaphragmatic lesion and a 5 cm pericardial defect, which was intentionally enlarged to 7 cm to prevent incarceration. A patch repair was used for the large diaphragm defect. Postoperatively, the patient recovered well and subsequently underwent chemotherapy and targeted therapy without complications.

CONCLUSION

Ovarian cancer metastasis to the central tendon of the diaphragm can involve the pericardium, requiring complex and high-risk surgery. Such cases necessitate a multidisciplinary approach led by a team of experienced gynecologic oncologists.