Beresford-Cleary Nja, Mehdi Sa, Magowan B
Borders General Hospital, Melrose, UK.
J Surg Case Rep. 2012 Jul 1;2012(7):9. doi: 10.1093/jscr/2012.7.9.
Bony metastases from ovarian cancer are rare, tend to affect the axial skeleton and are associated with abdomino-pelvic disease. The median time interval between diagnosis of ovarian carcinoma and presentation of bony metastases is 44 months (1). We describe a rare case of high grade left ovarian serous / endometrioid adenocarcinoma presenting with a pathological right femoral fracture 4 weeks following diagnosis and optimal debulking of the ovarian tumour. Orthopaedic surgeons must be vigilant when planning treatment of fractures presenting in patients with a history of ovarian cancer.
卵巢癌的骨转移罕见,倾向于累及中轴骨骼,并与腹盆腔疾病相关。卵巢癌诊断与骨转移出现之间的中位时间间隔为44个月(1)。我们描述了一例罕见的高级别左卵巢浆液性/子宫内膜样腺癌病例,该病例在卵巢肿瘤诊断及最佳减瘤术后4周出现病理性右股骨骨折。对于有卵巢癌病史患者发生骨折的治疗规划,骨科医生必须保持警惕。