Four cases of ovarian metastases from colo-rectal cancer.

Yamaguchi, Toshimasa; Urakawa, Tomoaki; Nakamoto, Mitsuharu; Idei, Hideki; Tanaka, Hiroaki; Iso, Atsunori; Nishio, Yukio; Uematsu, Kiyoshi; Setou, Koichi; Kawakita, Naoto; Shimada, Yasuhide

doi:10.5833/jjgs.22.2882

Cited by 11 publications

(3 citation statements)

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“…13,14 Another report indicate that in the case of ovarian metastases, intensive lymphatic vessel involvement is often observed in primary colon cancer. 15 In our patient, the ovarian capsule was intact at the time of the first laparotomy, and at the second operation, cytology of the ascites was negative; however, she ultimately died due to peritonitis dissemination. These results suggest first, that ovarian metastases may result from peritoneal dissemination; and second, that peritoneal dissemination and micrometastases in both ovaries coexist independently.…”

Section: Discussionmentioning

confidence: 86%

Manifestation of Bilateral Huge Ovarian Metastases from Colon Cancer Immediately After the Initial Operation: Report of a Case

et al. 2002

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This report describes the case of a 34-year-old premenopausal woman in whom bilateral huge ovarian metastases were found immediately after initial surgery for sigmoid colon cancer. Both ovaries had been intact at the time of sigmoidectomy, but 2 months later, she complained of persistent vaginal bleeding, and large bilateral metastases were detected in both ovaries. Oophorectomy with intraperitoneal chemotherapy proved ineffective and the patient died 3 months later, after a second operation, from peritoneal dissemination. This case report serves to demonstrate the importance of searching for synchronous or nonsynchronous metastases to the ovaries after surgery for colon cancer in young women. Consideration should also be given to the feasibility of performing prophylactic oophorectomy or administering intensive chemotherapy in association with colon resections for carcinoma for premenopausal women because of the ineffectiveness of these modalities as treatment for metastatic disease.

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Section: Discussionmentioning

confidence: 86%

Manifestation of Bilateral Huge Ovarian Metastases from Colon Cancer Immediately After the Initial Operation: Report of a Case

et al. 2002

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“…The pathway of ovarian metastasis from CRC remains unclear even though there are some hypotheses of direct dissemination from the primary CRC and through the lymphatics or blood vessels. About the pathway, Fujiyoshi et al [10], Yamaguchi et al [11], and Sato et al [12] reported that lymphogeneous spread was important because many primary tumors contained lymphatic invasion shown in the histological examination. On the other hand, Graffner et al [13] and Brinkrant et al [14] suggested that hematogenous spread was important because of little flow between ovary and colon or rectum, and poor relationships between ovarian metastasis and regional lymphoid node metastasis.…”

Section: Discussionmentioning

confidence: 99%

The Validity of a New Edition of Classification for Ovarian Metastasis from Colorectal Cancer

Yoshihara

Noura

Tanida

et al. 2021

J Anus Rectum Colon

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Objectives: In the 9th edition of the Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma (JCCRC), ovarian metastasis is classified as distant metastasis. We assessed the significance of resection of ovarian metastases and the validity of this 9th edition of JCCRC for ovarian metastases from colorectal cancer (CRC). Methods: We retrospectively analyzed the clinicopathological factors and overall survival of 17 patients with ovarian metastases from CRC who underwent resection and 110 female CRC patients with Stage IV (M1a) disease. Results: The patients with only ovarian metastases who underwent resection had a longer median survival time than patients with both ovarian and peritoneal metastases who underwent resection (45.4 months vs. 9.3 months, P = 0.029). The 5-year overall survival of the patients with only ovarian metastases who underwent R0 resection was as long as that of the female Stage IV (M1a) CRC patients after R0 resection (50% vs. 48%, P = 0.334). Conclusions: We found that, after resection, patients with only ovarian metastases had significantly better prognoses than patients with ovarian and peritoneal metastases. R0 resection of ovarian metastasis indicated as good prognosis as R0 resection of metastasis to one distant organ without ovaries. So the 9th edition of JCCRC, which classifies ovarian metastasis from CRC as distant metastasis, is appropriate.

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“…The etiology of pleural effusion is also unclear. The transfer of ascitic fluid via transdiaphragmatic lymphatic channels is the current prevailing theory [ 17 , 18 ]. Pleural paracentesis may be useful to exclude carcinomatous pleurisy.…”

Section: Discussionmentioning

confidence: 99%

Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer

Yamamoto

Miyagawa

Ehara

et al. 2017

Case Reports in Surgery

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Pseudo-Meigs' syndrome is used to describe cases of ascites and/or pleural effusion associated with ovarian neoplasms other than benign tumors, which improve after removal of the ovarian lesion. We present three cases of pseudo-Meigs' syndrome secondary to ovarian metastasis from colorectal cancer. In case 1, the patient has severe dyspnea and hypoxia due to massive right pleural effusion; therefore preoperative thoracic drainage was needed. In case 2, the patient needed paracentesis every two or three days to improve abdominal distension. After two courses of 5-fluorouracil, levofolinate, and oxaliplatin (mFOLFOX6), her ascites could be controlled by diuretics without aspiration and her general condition improved. Then she underwent operation. In case 3, the patient developed a massive pleural effusion and ascites coincident with a rapid enlargement of ovarian tumor after resection and adjuvant chemotherapy for rectal cancer. In all cases, pleural effusions and/or ascites resolved and general conditions and daily activities of the patients improved after oophorectomy. They are all currently in good health without recurrence of pleural effusion or ascites. In patients with suspected pseudo-Meigs' syndrome secondary to ovarian metastasis of colorectal cancer, operation including oophorectomy may reduce pleural effusions and/or ascites and improve the general condition.

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Four cases of ovarian metastases from colo-rectal cancer.

Cited by 11 publications

References 0 publications

Manifestation of Bilateral Huge Ovarian Metastases from Colon Cancer Immediately After the Initial Operation: Report of a Case

Manifestation of Bilateral Huge Ovarian Metastases from Colon Cancer Immediately After the Initial Operation: Report of a Case

The Validity of a New Edition of Classification for Ovarian Metastasis from Colorectal Cancer

Three Cases of Pseudo-Meigs’ Syndrome Secondary to Ovarian Metastases from Colorectal Cancer

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