Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
권호 표지
DOI QR코드

DOI QR Code

Improved Survival of a Patient with Gastric and Other Multiple Metastases from Ovarian Cancer by Multimodal Treatment: A Case Report

  • Hwangbo, Seonmi (Gastric Cancer Center, Kyungpook National University Medical Center) ;
  • Kwon, Oh Kyoung (Gastric Cancer Center, Kyungpook National University Medical Center) ;
  • Chung, Ho Young (Department of Surgery, Kyungpook National University Hospital) ;
  • Yu, Wansik (Gastric Cancer Center, Kyungpook National University Medical Center)
  • Received : 2015.07.21
  • Accepted : 2015.08.23
  • Published : 2015.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Gastric metastasis from ovarian carcinoma is extremely rare and the prognosis for patients is poor. We report a case of multimodal treatment improving the survival time of a patient with gastric metastasis from ovarian cancer. A 73-year-old woman with known serous ovarian cancer was admitted to the hospital due to epigastric pain and dyspepsia. On esophagogastroduodenoscopy, a protruding mass was noted at the gastric antrum. She underwent distal gastrectomy with Billroth I anastomosis and lymph node dissection, including the para-aortic lymph nodes. The final pathology revealed gastric metastasis from ovarian serous adenocarcinoma. In this case, after cytoreductive surgery, chemotherapy was performed each time a recurrence was diagnosed, and remission was accomplished. She survived for 108 months after the first diagnosis of the metastatic tumor in the stomach. Multimodal treatment of metastatic lesions since the first diagnosis allowed the patient to survive longer than those in previous reports.

Keywords

References

  1. De Palma GD, Masone S, Rega M, Simeoli I, Donisi M, Addeo P, et al. Metastatic tumors to the stomach: clinical and endoscopic features. World J Gastroenterol 2006;12:7326-7328. https://doi.org/10.3748/wjg.v12.i45.7326
  2. Namikawa T, Hanazaki K. Clinicopathological features and treatment outcomes of metastatic tumors in the stomach. Surg Today 2014;44:1392-1399. https://doi.org/10.1007/s00595-013-0671-9
  3. Obeidat F, Mismar A, Shomaf M, Yousef M, Fram K. Gastric perforation secondary to metastasis from ovarian cancer: Case report. Int J Surg Case Rep 2013;4:541-543. https://doi.org/10.1016/j.ijscr.2013.03.002
  4. Oda I, Kondo H, Yamao T, Saito D, Ono H, Gotoda T, et al. Metastatic tumors to the stomach: analysis of 54 patients diagnosed at endoscopy and 347 autopsy cases. Endoscopy 2001;33:507-510. https://doi.org/10.1055/s-2001-14960
  5. Zhou JJ, Miao XY. Gastric metastasis from ovarian carcinoma: a case report and literature review. World J Gastroenterol 2012;18:6341-6344. https://doi.org/10.3748/wjg.v18.i43.6341
  6. Jung HJ, Lee HY, Kim BW, Jung SM, Kim HG, Ji JS, et al. Gastric metastasis from ovarian adenocarcinoma presenting as a submucosal tumor without ulceration. Gut Liver 2009;3:211-214. https://doi.org/10.5009/gnl.2009.3.3.211
  7. Kang WD, Kim CH, Cho MK, Kim JW, Lee JS, Ryu SY, et al. Primary epithelial ovarian carcinoma with gastric metastasis mimic gastrointestinal stromal tumor. Cancer Res Treat 2008;40:93-96. https://doi.org/10.4143/crt.2008.40.2.93
  8. Lim MC, Kang S, Lee KS, Han SS, Park SJ, Seo SS, et al. The clinical significance of hepatic parenchymal metastasis in patients with primary epithelial ovarian cancer. Gynecol Oncol 2009;112:28-34. https://doi.org/10.1016/j.ygyno.2008.09.046
  9. Kobayashi O, Murakami H, Yoshida T, Cho H, Yoshikawa T, Tsuburaya A, et al. Clinical diagnosis of metastatic gastric tumors: clinicopathologic findings and prognosis of nine patients in a single cancer center. World J Surg 2004;28:548-551.

Cited by

  1. Solitary Gastric Metastasis from a Stage IA Serous Ovarian Carcinoma: A Case Report with Literature Review vol.56, pp.8, 2015, https://doi.org/10.2169/internalmedicine.56.7784
  2. A Metastatic Gastric Tumor from Ovarian Cancer vol.57, pp.3, 2015, https://doi.org/10.2169/internalmedicine.9147-17