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TEA has a substantial advantage in pelvic disease recurrence.
Only 13% of patients had recurrent disease outside the pelvis without evidence of pelvic disease [99].
Nowadays, qualitative and quantitative functional imaging with DWI are becoming increasingly important in the evaluation of pelvic disease.
Conclusions: Modified posterior exenteration is an effective surgical means of eliminating pelvic disease in patients with advanced ovarian cancer.
Distribution is related to treatment fields and most frequently involves the rectum and sigmoid because of radiation for pelvic disease (most commonly prostatic or cervical cancer) [9].
The sensitivity of detecting pelvic recurrence is 90%% in both MRI and PET-CT with superior depiction of extra pelvic disease using PET-CT [28, 30].
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The association of high BrdUrd labelling and poor pelvic disease-free survival indicates the need for further research into the potential of radiotherapy schedule alteration to reflect tumour proliferation.
For the whole group of 46 patients the 3-year overall survival was 68.5%, disease-free survival 53.2%, pelvic disease-free survival 88.3% and distant metastasis-free survival 67.0%.
Lung metastases were seen in 6% of women at some point but all had prior abdomino-pelvic disease [ 11].
Ovarian cancer is the fourth most commonly occurring cancer in women, with most patients presenting with extra-pelvic disease spread.
It has a high morbidity rate and therefore is considered only if the cancer is deemed "curable", with no extra-pelvic disease and free margins[ 60 ].
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