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Colonic Metastasis Presenting as an Intraluminal Fungating Mass 8 Years After Surgery for Ovarian Cancer.

Kim JR, Kim BM, Kim YM, Lee WA, Namgung H - Ann Coloproctol (2015)

Bottom Line: We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer.A 70-year-old woman presented with constipation.A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer. A 70-year-old woman presented with constipation. She had undergone an extended total abdominal hysterectomy with bilateral salpingo-oophorectomy for an ovarian papillary serous cystadenocarcinoma 8 years earlier. Colonoscopy showed a large fungating mass 10 cm from the anal verge that was suspected to be colorectal cancer. A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction. After a lower anterior resection and a pathologic diagnosis, a diagnosis of a papillary serous adenocarcinoma due to metastasis from an ovarian tumor was made for this patient.

No MeSH data available.


Related in: MedlinePlus

(A) The computed tomography (CT) image shows a heterogeneous enhanced mass in the rectosigmoid junction of colon. (B) The colonic mass shows a high fluoro-deoxyglucose uptake on the positron emission tomography-CT image.
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Figure 2: (A) The computed tomography (CT) image shows a heterogeneous enhanced mass in the rectosigmoid junction of colon. (B) The colonic mass shows a high fluoro-deoxyglucose uptake on the positron emission tomography-CT image.

Mentions: A 70-year-old woman presented with constipation in August 2013. Colonoscopy had been performed at an outside institution. A fungating mass of 6 cm in size was observed 10 cm from the anal verge and was thought to be colorectal cancer (Fig. 1). A biopsy was performed, and the pathologic diagnosis was a metastatic papillary serous adenocarcinoma. The patient's serum cancer antigen 125 (CA-125) was slightly elevated (63.2 U/mL; reference, 0-55 U/mL), but her serum carcinoembryonic antigen (CEA) was normal (1.5 ng/mL; reference, 0-7 ng/mL). The computed tomography (CT) scan showed a bulky intraluminal fungating mass involving the distal sigmoid colon and the proximal rectum, as well as several small lymph nodes in the superior rectal, left common iliac, and para-aortic nodal stations. Positron emission tomography-CT revealed a high fluoro-deoxyglucose uptake in the colonic mass and in the regional and the para-aortic lymph nodes, suggesting metastatic lymphadenopathy (Fig. 2).


Colonic Metastasis Presenting as an Intraluminal Fungating Mass 8 Years After Surgery for Ovarian Cancer.

Kim JR, Kim BM, Kim YM, Lee WA, Namgung H - Ann Coloproctol (2015)

(A) The computed tomography (CT) image shows a heterogeneous enhanced mass in the rectosigmoid junction of colon. (B) The colonic mass shows a high fluoro-deoxyglucose uptake on the positron emission tomography-CT image.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644708&req=5

Figure 2: (A) The computed tomography (CT) image shows a heterogeneous enhanced mass in the rectosigmoid junction of colon. (B) The colonic mass shows a high fluoro-deoxyglucose uptake on the positron emission tomography-CT image.
Mentions: A 70-year-old woman presented with constipation in August 2013. Colonoscopy had been performed at an outside institution. A fungating mass of 6 cm in size was observed 10 cm from the anal verge and was thought to be colorectal cancer (Fig. 1). A biopsy was performed, and the pathologic diagnosis was a metastatic papillary serous adenocarcinoma. The patient's serum cancer antigen 125 (CA-125) was slightly elevated (63.2 U/mL; reference, 0-55 U/mL), but her serum carcinoembryonic antigen (CEA) was normal (1.5 ng/mL; reference, 0-7 ng/mL). The computed tomography (CT) scan showed a bulky intraluminal fungating mass involving the distal sigmoid colon and the proximal rectum, as well as several small lymph nodes in the superior rectal, left common iliac, and para-aortic nodal stations. Positron emission tomography-CT revealed a high fluoro-deoxyglucose uptake in the colonic mass and in the regional and the para-aortic lymph nodes, suggesting metastatic lymphadenopathy (Fig. 2).

Bottom Line: We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer.A 70-year-old woman presented with constipation.A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer. A 70-year-old woman presented with constipation. She had undergone an extended total abdominal hysterectomy with bilateral salpingo-oophorectomy for an ovarian papillary serous cystadenocarcinoma 8 years earlier. Colonoscopy showed a large fungating mass 10 cm from the anal verge that was suspected to be colorectal cancer. A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction. After a lower anterior resection and a pathologic diagnosis, a diagnosis of a papillary serous adenocarcinoma due to metastasis from an ovarian tumor was made for this patient.

No MeSH data available.


Related in: MedlinePlus