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

Abstract

<h4>Introduction</h4>Ovarian cancer metastasis to the pericardium is rare. Surgical resection of such metastases is exceptionally uncommon, with only limited cases reported in the literature.<h4>Case report</h4>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.<h4>Conclusion</h4>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.