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在医学专科的边缘领域:结直肠癌的卵巢转移

On the border of medical specialties: ovarian metastasis from colorectal cancer.

作者信息

Kowalczyk Katarzyna A, Wysocki Wojciech M

机构信息

Department of General, Oncological and Vascular Surgery, 5th Military Clinical Hospital in Cracow, Poland.

Chair of Surgery, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, Poland.

出版信息

Ginekol Pol. 2021 Sep 20. doi: 10.5603/GP.a2021.0162.

Abstract

The colon cancer (CC) is the fourth most common cancer in the world. It is associated with metastatic spread in 50% of cases in the course of the disease. Common sites for synchronous metastases from colorectal cancer are the lung, liver, peritoneum, bone and brain. The frequency of ovarian metastasis from CC varies widely from 1.6 to 7.4%. This type of metastasis is difficult to distinguish clinically from primary ovarian neoplasms. We present a case of a 49-years old woman admitted to the Department of General Surgery at the 5th Military Clinical Hospital in Cracow for elective surgery for metastatic obstructive sigmoid cancer. Computed tomography (CT) showed a large tumor in the right ovarian field. Brief recommendations regarding that issue based on the available literature has been summarized as well.

摘要

结肠癌(CC)是全球第四大常见癌症。在疾病过程中,50%的病例会发生转移扩散。结直肠癌同步转移的常见部位是肺、肝、腹膜、骨和脑。结肠癌卵巢转移的发生率差异很大,从1.6%到7.4%不等。这种转移类型在临床上很难与原发性卵巢肿瘤区分开来。我们报告一例49岁女性患者,因转移性梗阻性乙状结肠癌择期手术入住克拉科夫第5军事临床医院普通外科。计算机断层扫描(CT)显示右卵巢区域有一个大肿瘤。还总结了基于现有文献对该问题的简要建议。

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