J Korean Med Sci.  2002 Jun;17(3):415-418. 10.3346/jkms.2002.17.3.415.

Hepatic Resection of Metastatic Tumor from Serous Cystadenocarcinoma of the Ovary

• Lee JH
• Kim KS
• Chung CW
• Park YN
• Kim BR

• KMID: 1101562
• DOI: http://doi.org/10.3346/jkms.2002.17.3.415

Abstract

Metastatic carcinomas are the largest group of malignant tumors of the liver. But parenchymal liver metastasis from cystic ovarian adenocarcinoma is very rare. We report a case in which the resection of metastatic liver neoplasm from ovarian serous cystadenocarcinoma was done 7 yr after initial treatment. A 48-yr-old oriental housewife complained of easy fatigability and right lower quadrant discomfort. The hepatic mass was detected by ultrasonographic examination. Serum albumin, bilirubin, and aspartate aminotransferase/alanine aminotransferase were normal. Alkaline phosphatase level was slightly increased at 146 IU/L. A tumor marker study showed alpha-fetoprotein 0.97 IU/mL, carcinoembryonic antigen 0.965 ng/mL, cancer antigen 125 1,267 ng/mL and CA 19-9 106.1 ng/mL. The operation involved cholecystectomy and segmentectomy VI and VII of the liver. The patient recovered from the surgery without any complication. On the 10th postoperative day, the patient received a single-regimen chemotherapy with paclitaxel (Taxol, 155 mg/m2 BSA) and was discharged. She has been carefully followed-up without any evidence of recurrence after completion of the remaining 5 cycles of chemo-therapy, at intervals of three weeks.

Keyword

Ovarian Neoplasms; Cystadenocarcinoma; Serous; Neoplasm Metastasis; Hepatectomy

MeSH Terms

Cystadenocarcinoma, Serous/*secondary/*surgery
Female
Hepatectomy
Humans
Liver Neoplasms/*secondary/*surgery
Middle Aged
Ovarian Neoplasms/*pathology
Tomography, X-Ray Computed