{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T03:29:48Z","timestamp":1790306988577,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Ovarian metastases (OM) from colorectal cancer (CRC) are uncommon, and data about optimal management are lacking. The aim of this study was to examine the management and outcomes of patients with OM from CRC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of records of patients with a histopathological diagnosis of OM from CRC who were treated at Christchurch Hospital between 1 January 2000 and 31 December 2016. Data related to presentation, clinicopathological characteristics, treatment and outcomes were recorded. The primary outcomes were overall survival and disease\u2010free survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one patients were identified (median age 55\u2009years, range 28\u201377), with a median follow\u2010up of 23\u2009months (range 3\u201384\u2009months). Abdominal pain was the most common presenting symptom (22 patients). Synchronous OM occurred in 22 patients, 14 patients had bilateral ovarian involvement. Twenty\u2010one patients received adjuvant chemotherapy. R0 resection was achieved in 14 patients. For all patients the 5\u2010year disease\u2010free and overall survival were 11% and 12%, respectively, while 5\u2010year overall survival for R0 resections was 30%. Improved median survival was associated with negative colon resection margins (26.7 months versus 7.8\u2009months, <jats:italic>P<\/jats:italic> = 0.03), R0 resection (30.5 months versus 23.5\u2009months, <jats:italic>P\u2009=<\/jats:italic> 0.04), and use of adjuvant chemotherapy (28.8 months versus 8.2\u2009months, <jats:italic>P\u2009&lt;<\/jats:italic> 0.0001); however, on multivariate analysis adjuvant chemotherapy was the only independent factor associated with improved prognosis (<jats:italic>P<\/jats:italic> = 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>OM from CRC are uncommon and carry a poor prognosis. Improved survival was associated with complete surgical resection of the primary tumour and metastatic disease in combination with systemic chemotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14930","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T18:00:36Z","timestamp":1543428036000},"page":"1091-1096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Complete resection of colorectal cancer with ovarian metastases combined with chemotherapy is associated with improved survival"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2423-4162","authenticated-orcid":false,"given":"Ibrahim S.","family":"Al\u2010Busaidi","sequence":"first","affiliation":[{"name":"Department of Surgery Christchurch Hospital  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Anatomical Pathology Christchurch Hospital  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Dobbs","sequence":"additional","affiliation":[{"name":"Department of Surgery Christchurch Hospital  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim W.","family":"Eglinton","sequence":"additional","affiliation":[{"name":"Department of Surgery Christchurch Hospital  Christchurch New Zealand"},{"name":"Department of Surgery University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Wakeman","sequence":"additional","affiliation":[{"name":"Department of Surgery Christchurch Hospital  Christchurch New Zealand"},{"name":"Department of Surgery University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank A.","family":"Frizelle","sequence":"additional","affiliation":[{"name":"Department of Surgery Christchurch Hospital  Christchurch New Zealand"},{"name":"Department of Surgery University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-198702000-00005"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-12-278"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237479"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20803"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01543.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02303479"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2003.12.017"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1984.01390240023004"},{"key":"e_1_2_8_10_1","volume-title":"Ethical Guidelines for Observational Studies: Observational Research, Audits and Related Activities","author":"National Ethics Advisory Committee","year":"2012"},{"key":"e_1_2_8_11_1","first-page":"1358","article-title":"Multiple primary malignant tumours; a survey of the literature and a statistical study","volume":"16","author":"Warren S","year":"1932","journal-title":"Am. 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