Department of Oncology, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, Shanghai, China.
Shanghai Key Laboratory of Molecular Imaging, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, Shanghai, China.
J Int Med Res. 2024 Apr;52(4):3000605241245000. doi: 10.1177/03000605241245000.
Ovarian cancer is a common tumor among women. It is often asymptomatic in the early stages, with most cases already at stage III to IVE at the time of diagnosis. Direct spread and lymphatic metastasis are the primary modes of metastasis, whereas hematogenous spread is rare. An initial diagnosis of ovarian cancer that has metastasized to the stomach is also uncommon. Therefore, clear treatment methods and prognostic data for such metastasis are lacking. In our hospital, we encountered a patient with an initial imaging diagnosis of a gastric tumor and a history of an ovarian tumor with endoscopic abdominal metastasis. Based on the characteristics of the case, the two tumors were considered to be the same. After chemotherapy, a partial response was observed in the stomach and pelvic lesions, suggesting the effectiveness of the treatment. Through three treatments of recurrence, gastroscopy confirmed the stomach to be a metastatic site. Therefore, determining the primary source of advanced tumors is crucial in guiding treatment decisions. Clinicians must approach this comprehensively, relying on thorough evaluation and personal experience.
卵巢癌是女性常见的肿瘤。它在早期通常无症状，大多数病例在诊断时已经处于 III 期到 IVE 期。直接播散和淋巴转移是主要的转移方式，而血行播散则较为罕见。卵巢癌转移至胃部的初始诊断也较为少见。因此，对于这种转移，缺乏明确的治疗方法和预后数据。在我院，我们遇到了一名患者，其最初的影像学诊断为胃部肿瘤，并有卵巢肿瘤病史，伴有腹部内镜转移。根据病例特点，考虑两个肿瘤为同一来源。经过化疗，胃部和盆腔病变有部分缓解，提示治疗有效。经过三次复发治疗，胃镜检查确认胃部为转移部位。因此，确定晚期肿瘤的原发灶对于指导治疗决策至关重要。临床医生必须全面考虑，依靠彻底的评估和个人经验。
