An Operative Case of Lower Rectum Metastatis from Ovarian Cancer

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  • Oshiro Takafumi
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Hirata Yuzo
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Okamoto Yuzo
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Yoshioka Shinkichiro
    Department of Surgery, Hiroshima General Hospital of the West Japan Railway Company
  • Nakayamaand Hirofumi
    Department of Pathology and Laboratory Medicine, Hiroshima General Hospital of the West Japan Railway Company
  • Nakagawa Kenji
    Nakagawa Geka Ichoka

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  • 卵巣癌直腸転移の1切除例

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Abstract

We report a case of rectal metastasis from ovarian cancer. A 56-year-old woman had undergone total hysterectomy, bilateral salpingo-oophorectomy, extensive dissection of the pelvic and para-aortic lymph nodes, and resection of the greater omentum for an ovarian carcinoma two years and two months earlier. After postoperative chemotherapy, no recurrence or metastasis had been found until she suffered from irregular defecation and melena. An abdominal CT scan showed wall thickening and narrowing of the lower rectum and a space-occupying lesion with ring enhancement in S7 of the liver.<BR>Colonoscopy revealed a type-2 tumor accompanied by ulceration on the surface of the lesion. The biopsy specimen revealed adenocarcinoma. With a preoperative diagnosis of primary rectal cancer, surgical resection of the rectal tumor was performed. The final histological diagnosis was metastasis from the ovarian cancer to the lower rectum.

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