Balaya V, Metzger U, Denet C, Herry M, Lecuru F
Service de Chirurgie cancérologique, gynécologique et du sein, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75908, Paris Cedex 15, France.
URDIA Anatomie EA 4465, 45, Rue des Saints-Pères, 75006, Paris, France.
J Ultrasound. 2018 Mar;21(1):69-75. doi: 10.1007/s40477-017-0258-1. Epub 2017 Aug 21.
We present here the first-reported case of tubal metastasis from colorectal cancer diagnosed by a preoperative pelvic ultrasound. A 53-year-old woman suffering from vaginal discharge was referred to us 2 years after she underwent a partial colectomy for adenocarcinoma. The pelvic ultrasound examination revealed a right pelvic mass of 52 × 24 × 38 mm, independent of the right ovary, which was apparently unaffected. A right salpingo-oophorectomy was performed and the definitive histopathology examination showed a recurrence of the initial adenocarcinoma with a right tubal metastasis. The eventuality of such an unusual site of metastasis should be remembered.
我们在此报告首例经术前盆腔超声诊断的结直肠癌输卵管转移病例。一名53岁有白带异常的女性，在因腺癌接受部分结肠切除术后2年转诊至我院。盆腔超声检查发现右侧盆腔有一个52×24×38mm的肿块，与右侧卵巢无关，右侧卵巢显然未受影响。遂行右侧输卵管卵巢切除术，最终组织病理学检查显示最初的腺癌复发并伴有右侧输卵管转移。应牢记这种不寻常转移部位的可能性。
