A CASE OF CHOLANGIO CELL CARCINOMA WITH METASTASIS TO THE OVARY

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  • ABE Yutaka
    Department of Surgery, Seirei Hamamatsu Hospital Department of Surgery, Totsuka Kyouritsu Daini Hospital
  • MACHIDA Hiromichi
    Department of Surgery, Seirei Hamamatsu Hospital
  • HIRAI Eiichi
    Department of Surgery, Seirei Hamamatsu Hospital
  • TODA Hiroshi
    Department of Surgery, Seirei Hamamatsu Hospital
  • KAMEOKA Shingo
    Department of Surgery II, Tokyo Women's Medical University

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  • 卵巣転移をきたした胆管細胞癌の１例

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We encountered a very rare case of cholangio cell carcinoma (CCC) with ovarian metastasis. A 52-year-old woman visited our hospital with a complaint of abdominal distension and admitted to obstetrics and gynecology department, because of massive ascites and 12cm in diameter ovarian cyst by computed tomography examination. A further examination revealed a 30mm tumor in maximum diameter in the lateral lobe of the liver and swollen mediastinal lymph nodes. Total hysterectomy, omentectomy and appendectomy were performed because of suspicion of malignant ovarian tumor. Pathological diagnosis of ovarian mass was borberline malignancy and the specimen of aspiration biopsy of cervical lymph node revealed adenocarcinoma and that of liver revealed CCC. No ascites and lymph node swelling were encountered after the gynecological operation without chemotherapy and the liver tumor was localized only in S 2/3, and left lobe and Spiegel leaf resection were performed. As a result of precise pathological study of the liver and ovarian tumor, the ovarian cyst was thought to be a metastasis of CCC. Generally, the metastatic ovarian tumor originate from stomach or colon, accordingly we reported this rare case with review of literatures.

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