Machida Tomohiko
Dept. of Surgery, Kano General Hospital.
Gan To Kagaku Ryoho. 2014 Dec;41(13):2619-22.
The patient was a 78-year-old woman who underwent surgery for cecal carcinoma perforation and peritonitis (ileocecal resection and ileostomy)in January 2012. Liver metastasis was observed on the postoperative computed tomography (CT) scan and chemotherapy was performed. However, in October, a CT scan revealed a tumor, 9 cm in diameter, in the right ovary. Based on the results of a positron emission tomography (PET)-CT scan, this was suspected to be primary or metastatic ovarian cancer, and bilateral salpingo-oophorectomy was performed the following January. Histopathology and immunostaining indicated that this was a cytokeratin (CK) 20-positive and CK7-negative adenocarcinoma, and the patient was diagnosed with metastatic cecal carcinoma.
该患者为一名78岁女性，2012年1月因盲肠癌穿孔和腹膜炎接受手术（回盲部切除术和回肠造口术）。术后计算机断层扫描（CT）发现肝转移并进行了化疗。然而，10月的CT扫描显示右卵巢有一个直径9厘米的肿瘤。根据正电子发射断层扫描（PET）-CT结果，怀疑这是原发性或转移性卵巢癌，次年1月进行了双侧输卵管卵巢切除术。组织病理学和免疫染色表明这是一种细胞角蛋白（CK）20阳性、CK7阴性的腺癌，该患者被诊断为转移性盲肠癌。
