Department of Oncology, Clalit Health Services, Lin Medical Center, Haifa, Israel.
Curr Oncol. 2013 Feb;20(1):e44-7. doi: 10.3747/co.20.1196.
Gastrointestinal fistulae can occur in ovarian cancer patients, usually in the setting of advanced relapsed disease. Treatment typically involves immediate surgery.Here, we describe a case of an abscess resulting from an intestinal fistula as the first manifestation of advanced epithelial ovarian cancer, and we review the current literature on this subject. The patient was successfully treated with a combination of chemotherapy, antibiotics, and delayed surgery. Optimal debulking was achieved without a need for bowel resection.This report is the first of conservative management of a fistula in an ovarian cancer patient in the chemotherapy-naïve setting.
胃肠道瘘可发生在卵巢癌患者中，通常发生在晚期复发性疾病的情况下。治疗通常需要立即手术。在这里，我们描述了一例因肠瘘导致脓肿的病例，这是晚期上皮性卵巢癌的首发表现，并回顾了该主题的现有文献。患者成功地接受了化疗、抗生素和延迟手术的联合治疗。在无需肠切除的情况下实现了最佳的肿瘤减灭术。本报告是首例在化疗初治的卵巢癌患者中采用保守治疗瘘管的报告。
