Omental Metastasis – Carcinoma Ovary

Omental Metastasis – Carcinoma Ovary

Omental Metastasis – Carcinoma Ovary ( Black Arrow)

Exfoliated malignant cells from the ovary  first reach the para colic gutter. The negative pressure associated with respiratory movement causes upward migration of the tumor cells towards diaphragm.

Omental metastasis typically occurs along the attachment of mesentery with the bowel because of the increased vascularity of the region required for the tumor angiogenesis.

Hence as a part of Cytoreductive surgery for advanced ovarian carcinoma Gastro colic omentectomy is also done along with Hysterectomy and Bilateral Salpingo Oophorectomy.