To evaluate the survival impact of extensive lymphadenectomy as part of debulking surgery in stage IVB ovarian cancer with supradiaphragmatic lymph node metastasis.
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Inclusion Criteria: * Histologically diagnosed ovarian, fallopian tubal, primary peritoneal cancer * Patients suspected of metastatic lymph nodes in the cardiophrenic, internal mammary, and/or supraclavicular lymph node by CT (size larger than 5mm) * Patients clinically diagnosed FIGO stage IVB ovarian, fallopian tubal, primary peritoneal cancer * Patients underwent debulking surgery (primary debulking surgery or interval debulking surgery) at Seoul National University Hospital from January 2010 to January 2020 * Patients age 18-90 Exclusion Criteria: * Borderline or benign ovarian disease * Patient didn't undergo debulking surgery * Non-epithelial ovarian cancer