[Lymphogenic dissemination of ovarian cancer based on autopsy data]

A clinicopathological study of 152 autopsied cases of ovarian cancer was carried out. Metastases in lymph nodes ranked third (57.9%), following lesions in the peritoneum (92.1%) and greater omentum (79.6%). Metastases in lymph nodes were found in 88 cases; almost invariably, they were concomitant with implantation and hematogenous metastases. The sites of lymphogenous lesions were most frequently in paraaortal (72.7%), pelvic (47.7%) and mesenteric (27.3%) lymph nodes. No metastases in lymph collectors were detected in nearly half the cases (42.1%) of generalized malignancy. It was shown that lymphogenous dissemination does not necessarily predominate in the clinical picture even at the terminal stage of the disease.