Improved Survival of a Patient with Gastric and Other Multiple Metastases from Ovarian Cancer by Multimodal Treatment: A Case Report.
10.5230/jgc.2015.15.3.218
- Author:
Seonmi HWANGBO
1
;
Oh Kyoung KWON
;
Ho Young CHUNG
;
Wansik YU
Author Information
1. Gastric Cancer Center, Kyungpook National University Medical Center, Daegu, Korea. wyu@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric metastasis;
Ovarian neoplasms;
Combined modality therapy
- MeSH:
Adenocarcinoma;
Aged;
Combined Modality Therapy*;
Diagnosis;
Drug Therapy;
Dyspepsia;
Endoscopy, Digestive System;
Female;
Gastrectomy;
Gastroenterostomy;
Humans;
Lymph Node Excision;
Lymph Nodes;
Neoplasm Metastasis*;
Ovarian Neoplasms*;
Pathology;
Prognosis;
Pyloric Antrum;
Recurrence;
Stomach
- From:Journal of Gastric Cancer
2015;15(3):218-221
- CountryRepublic of Korea
- Language:English
-
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.
