Background: The management of patients with recurrent gynecological malignancy is complex, and often\ncontentious. While historically, patients with metastases in the lungs, liver or brain have been treated with\npalliative intent, surgery is proving to have an increasing role in the management of such patients.\nMethods: In this review article, the surgical management of lung, liver and brain metastases from gynecological\ncancers is examined. A search of the English language literature over the last 25 years was conducted using the\nMedline and PubMed databases.\nResults: The results for management of metastases from the endometrium, ovary and cervix to the lung, brain and\nliver show that surprisingly good long-term survival results can be achieved for resection of metastases from all three\norgans. Patient selection is critical, and surgery is often used in conjunction with other treatment modalities.\nConclusions: From this review, it is apparent that surgery should play an increasing role in the management\nof patients with parenchymal metastases from gynecological cancers. The surgery should ideally be performed\nin high volume, tertiary centers where there is a committed multi-disciplinary team with the necessary infrastructure to\nachieve the best possible outcomes in terms of both survival and morbidity.
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