一例来自卵巢癌的转移性胃肿瘤。
A Metastatic Gastric Tumor from Ovarian Cancer.
作者信息
Kono Mitsuhiro, Nagami Yasuaki, Ominami Masaki, Sakai Taishi, Fukuda Takeshi, Fukunaga Shusei, Tanaka Fumio, Sugimori Satoshi, Yamagami Hirokazu, Tanigawa Tetsuya, Shiba Masatsugu, Tominaga Kazunari, Watanabe Toshio, Fujiwara Yasuhiro, Arakawa Tetsuo
机构信息
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Japan.
Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Japan.
出版信息
Intern Med. 2018 Feb 1;57(3):345-349. doi: 10.2169/internalmedicine.9147-17. Epub 2017 Nov 1.
Gastric metastasis from ovarian cancer has rarely been reported. We herein report the case of a 64-year-old woman with gastric metastasis from ovarian cancer that was diagnosed as surgical stage IA. Diagnostic and staging laparotomy showed mucinous carcinoma of the right ovary. At one month after surgery, bone metastasis was detected via scintigraphy. On esophagogastroduodenoscopy, a 10-mm elevated lesion with ulceration on the top was seen in the stomach. The immunohistochemical analysis of biopsy specimens showed that these metastases arose from ovarian cancer. We recommend that physicians remain aware of the possibility of gastric metastasis in patients with ovarian cancer.
卵巢癌胃转移鲜有报道。我们在此报告一例64岁女性，其患有卵巢癌胃转移，诊断为手术分期IA期。诊断性分期剖腹术显示右卵巢黏液癌。术后1个月，通过闪烁扫描检测到骨转移。在食管胃十二指肠镜检查中，胃内可见一个10毫米的隆起病变，顶部有溃疡。活检标本的免疫组织化学分析表明，这些转移灶起源于卵巢癌。我们建议医生应始终意识到卵巢癌患者发生胃转移的可能性。
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