Nishimura Mai, Matsumoto Sachiko, Ohara Yasuhiro, Imai Kazuaki, Wada Shinichiro, Fujino Takafumi
Department of Obstetrics and Gynecology, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan.
Gynecol Minim Invasive Ther. 2020 Apr 28;9(2):88-90. doi: 10.4103/GMIT.GMIT_10_19. eCollection 2020 Apr-Jun.
A 51-year-old woman visited our institution with a chief complaint of abdominal pain. Blood laboratory testing revealed a carcinoembryonic antigen level of 13.4 ng/mL. Magnetic resonance imaging revealed a massive pelvic mass with marked wall thickening, partly accompanied by a high-signal-intensity cystic component in T2-weighted images. The entire tumor had low-signal intensity in T1-weighted images. We diagnosed a ruptured ovarian tumor, and the patient underwent emergent laparoscopic left salpingo-oophorectomy. Pathological examination revealed metastatic colon cancer to the ovary, and lower gastrointestinal endoscopy confirmed sigmoid colon carcinoma. Laparoscopic sigmoidectomy was performed followed by adjuvant chemotherapy with capecitabine + oxaliplatin. Ruptured metastatic ovarian tumor is extremely rare. With early diagnosis and laparoscopic resection, the primary lesion can be identified and treated quickly.
一名51岁女性因腹痛为主诉前来我院就诊。血液实验室检查显示癌胚抗原水平为13.4 ng/mL。磁共振成像显示盆腔有巨大肿块，壁明显增厚，在T2加权图像上部分伴有高信号强度的囊性成分。整个肿瘤在T1加权图像上呈低信号强度。我们诊断为卵巢肿瘤破裂，患者接受了急诊腹腔镜下左侧输卵管卵巢切除术。病理检查显示为卵巢转移性结肠癌，下消化道内镜检查证实为乙状结肠癌。随后进行了腹腔镜乙状结肠切除术，并采用卡培他滨+奥沙利铂进行辅助化疗。破裂的转移性卵巢肿瘤极为罕见。通过早期诊断和腹腔镜切除，可以迅速识别并治疗原发病变。
