A CASE OF BILATERAL OVARIAN METASTASIS OF ASCENDING COLON CANCER PRESENTED WITH PSEUDO-MEIGS' SYNDROME

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  • Ｐｓｅｕｄｏ‐Ｍｅｉｇｓ症候群を呈した上行結腸癌両側卵巣転移の１例

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A case of bilateral ovarian metastasis of cancer of the ascending colon presented with Pseudo-Meigs' syndrome is reported.<br> A 48-year-old woman complaining of general fatigue and dyspnea was admitted to the hospital because of anemia and right pleural effusion. A huge mass was palpable in the hypogastric lesion. Abdominal ultrasonography and computed tomography revealed a huge left ovarian tumor 25cm in diameter and a right ovarian tumor 5cm in diameter. Total colonoscopy revealed an apple-core lesion of the ascending colon. CEA level was 52.8ng/ml and CA125 level was 312U/ml. In confirmation of a diagnosis of ascending colon and ovarian cancer and pleural effusion due to Pseudo-Meigs' syndrome, a right hemicolectomy and a hystero-oophorectomy were performed. Bilateral ovarian metastasis of colon cancer was dignosed by immunostaining. The postoperative course was uneventful, pleural effusion decreasing remarkably. Close examination is necessary for female patients who have a pelvic tumor with pleural effusion and ascites by keeping this syndrome in mind. It appears to be important to detect the malignant tumor of the alimentary tract.

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