内容紹介
A Case Report of Long-Term Survival after SOX Chemotherapy for Metastatic Ovarian Tumor of Gastric Cancer
Summary
A 55-year-woman presented with abdominal fullness. An abdominal MRI disclosed ovarian and uterine tumors. Under the pathological diagnosis of Kruckenberg tumor, total hysterectomy and bilateral adenexectomy were performed. Gastrointestinal endoscopy disclosed type 3 on the greater curvature and anterior wall of the middle gastric body. The gastric cancer had a similar histology, which suggested the tumor origin and led to the diagnosis of c-stageⅣ. She received 6 courses of SOX chemotherapy. Staging laparoscopy revealed no peritoneal metastasis and negative cytodiagnosis of ascites. She underwent total gastrectomy with D2 lymphadenectomy. In May 2017, after S-1 chemotherapy, no metastasis to other organs was observed.
要旨
症例は55歳,女性。腹部膨満感を主訴に当院を受診した。卵巣・子宮腫瘍に対して子宮全摘術・両側卵巣摘出術を施行し,病理結果にてKruckenberg腫瘍と診断された。原発巣精査目的にて上部消化管内視鏡検査を施行し,胃体中部大弯側前壁にtype 3病変を認め,生検結果はgroupⅤ,por2であった。胃癌卵巣転移と診断され,化学療法としてS-1+oxaliplatin(SOX)療法6コースを施行した。化学療法効果判定を含め審査腹腔鏡を施行し,細胞診陰性・腹膜転移を認めないため胃全摘術+D2郭清術を施行した。術後化学療法としてS-1を継続しているが,現在再発は認めていない。
目次
Summary
A 55-year-woman presented with abdominal fullness. An abdominal MRI disclosed ovarian and uterine tumors. Under the pathological diagnosis of Kruckenberg tumor, total hysterectomy and bilateral adenexectomy were performed. Gastrointestinal endoscopy disclosed type 3 on the greater curvature and anterior wall of the middle gastric body. The gastric cancer had a similar histology, which suggested the tumor origin and led to the diagnosis of c-stageⅣ. She received 6 courses of SOX chemotherapy. Staging laparoscopy revealed no peritoneal metastasis and negative cytodiagnosis of ascites. She underwent total gastrectomy with D2 lymphadenectomy. In May 2017, after S-1 chemotherapy, no metastasis to other organs was observed.
要旨
症例は55歳,女性。腹部膨満感を主訴に当院を受診した。卵巣・子宮腫瘍に対して子宮全摘術・両側卵巣摘出術を施行し,病理結果にてKruckenberg腫瘍と診断された。原発巣精査目的にて上部消化管内視鏡検査を施行し,胃体中部大弯側前壁にtype 3病変を認め,生検結果はgroupⅤ,por2であった。胃癌卵巣転移と診断され,化学療法としてS-1+oxaliplatin(SOX)療法6コースを施行した。化学療法効果判定を含め審査腹腔鏡を施行し,細胞診陰性・腹膜転移を認めないため胃全摘術+D2郭清術を施行した。術後化学療法としてS-1を継続しているが,現在再発は認めていない。