Introduction: The importance of routine appendectomy in patients with ovarian cancers remains under debate.

Objective: Study aimed at assessing the frequencyofappendicealmetastases in patients with ovarian neoplasms. 

Methods: Study included allpatients operated due to ovarian neoplasms during past two years. Postoperatively, removed tumor masses were examined histopathologically to determine the tumor type, grade and stage and describe in detail appendiceal involvement.

Results:Out of 86 patients with ovarian malignancies 57 hadappendectomy during staging/debulcking surgery. Appendiceal metastases were registered in 61.4% of assessed cases. Only clear cell tumors did not give appendiceal metastases. Significantly more tumors of stage III and IV gave metastases in the appendix than those that were in stages I and II (p=0.001).

Conclusion: Ovarian cancer appendiceal metastases were confirmed to be quite often especially in advanced stage disease implying on the need for appendectomy at the time of surgery.