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Surgery Today

, Volume 39, Issue 2, pp 153–156 | Cite as

Colon metastasis 20 years after the removal of ovarian cancer: Report of a case

  • Kotaro Shibahara
  • Kazuya Endo
  • Tetuo Ikeda
  • Hisanobu Sakata
  • Noriaki Sadanaga
  • Masaru Morita
  • Yoshihiro Kakeji
  • Yoshihiko Maehara
Case Report

Abstract

This report describes the case of a patient who had undergone surgery to resect bilateral ovarian tumors and then presented with colon metastasis 20 years later. A 69-year-old woman was admitted to the hospital for a clinical survey. She had been operated on for bilateral ovarian cancer in 1987 and was treated by postoperative adjuvant chemotherapy. The patient’s follow-up showed no abnormality until 2006. Colonoscopy revealed an elevated irregular lesion in the cecum. A biopsy of the lesion showed a group V, moderately differentiated adenocarcinoma. A right hemicolectomy with a partial resection of the ileum and a lymphadenectomy was performed. Immunohistochemical staining during the pathological diagnosis showed the lesion to be colon metastasis from a serous papillary adenocarcinoma of the ovary. Immunohistochemical staining was positive for cytokeratin 7, carbohydrate antigen (CA)-125, and estrogen receptors, and negative for cytokeratin 20, carcinoembryonic antigen, and CA19-9. The use of immunohistochemistry demonstrated the tumor to be of ovarian origin.

Key words

Colon metastasis Ovarian cancer Immunohistochemistry 

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Copyright information

© Springer 2009

Authors and Affiliations

  • Kotaro Shibahara
    • 1
  • Kazuya Endo
    • 2
  • Tetuo Ikeda
    • 2
  • Hisanobu Sakata
    • 2
  • Noriaki Sadanaga
    • 1
  • Masaru Morita
    • 1
  • Yoshihiro Kakeji
    • 1
  • Yoshihiko Maehara
    • 1
  1. 1.Department of Surgery and Science, Graduate School of Medical SciencesKyushu UniversityFukuokaJapan
  2. 2.Department of SurgeryOita Prefectural HospitalOitaJapan

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