Ann Coloproctol.
2015 Oct;31(5):198-201. 10.3393/ac.2015.31.5.198.
Colonic Metastasis Presenting as an Intraluminal Fungating Mass 8 Years After Surgery for Ovarian Cancer
- Affiliations
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- 1Department of Radiology, Dankook University College of Medicine, Cheonan, Korea.
- 2Department of Pathology, Dankook University College of Medicine, Cheonan, Korea.
- 3Department of Surgery, Dankook University College of Medicine, Cheonan, Korea. gsnamgung@dankook.ac.kr
- KMID: 2148180
- DOI: http://doi.org/10.3393/ac.2015.31.5.198
Abstract
- We report a case of colonic metastasis from ovarian cancer presented as an intraluminal fungating mass mimicking primary colon cancer 8 years after surgery for ovarian cancer. A 70-year-old woman presented with constipation. She had undergone an extended total abdominal hysterectomy with bilateral salpingo-oophorectomy for an ovarian papillary serous cystadenocarcinoma 8 years earlier. Colonoscopy showed a large fungating mass 10 cm from the anal verge that was suspected to be colorectal cancer. A computed tomography scan showed a bulky intraluminal fungating mass in the rectosigmoid junction. After a lower anterior resection and a pathologic diagnosis, a diagnosis of a papillary serous adenocarcinoma due to metastasis from an ovarian tumor was made for this patient.
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