Is Routine Gastroscopy/Colonoscopy Reasonable in Patients With Suspected Ovarian Cancer: A Retrospective Study

• DOI: 10.3389/fonc.2021.608999
• Publication Date: 2021-07-01T18:29:39Z
• Authors: Guochen Liu; Junping Yan; Shanshan Long; Zhimin Liu; Haifeng Gu; Hua Tu; Jundong Li
• Keywords: gastroscopy; 03 medical and health sciences; ovarian cancer; 0302 clinical medicine; Oncology; colonoscopy; differential diagnosis; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282; ovarian metastasis; 3. Good health

To evaluate the value of routine preoperative gastroscopy/colonoscopy in patients with suspected ovarian cancer for differential diagnosis and judgment bowel resection.All women diagnosed who underwent before surgery our center were retrospectively identified. Gastroscopy/colonoscopy results clinical pathology, imaging, surgical findings analyzed.389 included. Among them, 40 (including 13 gastric 9 colonic malignancy) metastasis. Compared gastrointestinal endoscopy showed no statistical advantage specificity sensitivity (99.4% vs. 99.7%, P=1.0; 55.0% 45.2%, P=0.057; respectively). All gastric/colonic metastasize except one had indicative imaging or tumor marker abnormalities. Three metastases optimal alive recurrence, other 19 experienced palliative chemotherapy. There is significant difference colonoscopy predicting intestinal incision (61.5% 43.8%, P=0.804), whereas latter higher (87.8% 74.3%, P=0.001).For cancer, incidence low, treatment less efficient. has limited power to predict need resection surgery.