Department of General Surgery, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China.
World J Gastroenterol. 2012 Nov 21;18(43):6341-4. doi: 10.3748/wjg.v18.i43.6341.
An isolated parenchymal gastric metastasis from ovarian carcinoma without any other sites of recurrence is extremely rare. Only two cases have been reported, both of which were symptomatic. We herein report such a case without any symptoms. A 61-year-old woman presented with a high cancer antigen-125 level without any other clinical manifestation. A subsequent ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) positron emission tomography/computed tomography scan revealed a submucosal mass with hypermetabolism of ¹⁸F-FDG (standardized uptake value: 5.36) in the gastric antrum. The final pathology after gastric antrectomy showed a metastatic gastric tumor from a primary ovarian carcinoma. We also performed an extensive literature review about gastric metastasis from ovarian carcinoma published until recently, and this is the first case of an isolated parenchymal gastric metastasis from ovarian carcinoma without any symptoms.
孤立性胃实质转移癌来自卵巢癌而无其他部位复发的情况极其罕见。仅有两例被报道,且均为有症状的。本文报告了一例无任何症状的病例。一名 61 岁女性因癌抗原 125 水平升高而就诊,无其他临床表现。随后进行的 ¹⁸F-氟代脱氧葡萄糖(¹⁸F-FDG)正电子发射断层扫描/计算机断层扫描(PET/CT)显示胃窦部有黏膜下肿块,¹⁸F-FDG 代谢增高(标准摄取值:5.36)。胃大部切除术后的最终病理显示为原发性卵巢癌的转移性胃肿瘤。我们还对最近发表的关于卵巢癌胃转移的文献进行了广泛的回顾,这是首例无任何症状的孤立性胃实质转移癌来自卵巢癌的病例。