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

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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.

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Authors and Affiliations

  1. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Kotaro Shibahara, Noriaki Sadanaga, Masaru Morita, Yoshihiro Kakeji & Yoshihiko Maehara

  2. Department of Surgery, Oita Prefectural Hospital, Oita, Japan

    Kazuya Endo, Tetuo Ikeda & Hisanobu Sakata

Authors
  1. Kotaro Shibahara
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  2. Kazuya Endo
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  3. Tetuo Ikeda
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  4. Hisanobu Sakata
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  5. Noriaki Sadanaga
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  6. Masaru Morita
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  7. Yoshihiro Kakeji
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  8. Yoshihiko Maehara
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Shibahara, K., Endo, K., Ikeda, T. et al. Colon metastasis 20 years after the removal of ovarian cancer: Report of a case. Surg Today 39, 153–156 (2009). https://doi.org/10.1007/s00595-008-3809-4

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  • DOI: https://doi.org/10.1007/s00595-008-3809-4

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