# Radical total pelvic exenteration with concomitant right nephrectomy in the management of recurrent endometrioid ovarian adenocarcinoma: A case report and literature review

## TL;DR

This case report discusses a complex surgery combining radical pelvic exenteration and nephrectomy to treat recurrent endometrioid ovarian adenocarcinoma.

## Contribution

The report highlights the use of a multidisciplinary surgical approach to achieve maximal cytoreduction in a challenging case.

## Key findings

- Radical pelvic exenteration with concomitant right nephrectomy was performed for recurrent endometrioid ovarian adenocarcinoma.
- Maximal cytoreductive surgery is emphasized as a key prognostic factor for improved survival in epithelial ovarian cancer.
- Multidisciplinary surgical efforts are essential to achieve complete macroscopic disease removal (R0).

## Abstract

Endometrioid ovarian adenocarcinoma is a common subtype of epithelial ovarian cancer that can arise on a background of endometriosis. Maximal cytoreductive effort with an aim to remove all macroscopic disease (achieve R0) is the single independent prognostic factor for survival. Complex multidisciplinary surgeries may be required in order to achieve this.