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Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision

Ovarian metastases represent about 3-5% of all ovarian malignancies. Most of these tumors originate in the digestive tract and cholangiocarcinoma rarely involves the ovary. A 60-year-old woman was admitted for the investigation of abdominal distension that had lasted 1 week. One and a half years pri...

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Autores principales: Lee, Seung Eun, Choi, Yoo Shin, Kim, Mi Kyung, Oh, Hyoung-Chul, Do, Jae Hyuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Association of Hepato-Biliary-Pancreatic Surgery 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494081/
https://www.ncbi.nlm.nih.gov/pubmed/26155281
http://dx.doi.org/10.14701/kjhbps.2015.19.2.75
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author Lee, Seung Eun
Choi, Yoo Shin
Kim, Mi Kyung
Oh, Hyoung-Chul
Do, Jae Hyuk
author_facet Lee, Seung Eun
Choi, Yoo Shin
Kim, Mi Kyung
Oh, Hyoung-Chul
Do, Jae Hyuk
author_sort Lee, Seung Eun
collection PubMed
description Ovarian metastases represent about 3-5% of all ovarian malignancies. Most of these tumors originate in the digestive tract and cholangiocarcinoma rarely involves the ovary. A 60-year-old woman was admitted for the investigation of abdominal distension that had lasted 1 week. One and a half years prior, the patient had undergone choledochal cyst excision, Roux-en Y hepaticojejunostomy and cholecystectomy. Computed tomography scans of the abdomen revealed a papillary mass in the remnant distal common bile duct and enlargement of both ovaries with a huge amount of ascites. An explorative laparotomy disclosed no peritoneal seeding with resectable cholangiocarcinoma and bilateral ovarian mass. Pylorus-preserving pancreatoduodenectomy and bilateral salphingo-oophorectomy with hysterectomy were performed. Histologically, it was a well-differentiated adenocarcinoma and all surgical margins were free of tumor. Both ovarian masses were consistent with metastatic adenocarcinoma from the common bile duct. The patient received six cycles of postoperative adjuvant systemic chemotherapy, dying after 10 months due to pulmonary embolism.
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spelling pubmed-44940812015-07-07 Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision Lee, Seung Eun Choi, Yoo Shin Kim, Mi Kyung Oh, Hyoung-Chul Do, Jae Hyuk Korean J Hepatobiliary Pancreat Surg Case Report Ovarian metastases represent about 3-5% of all ovarian malignancies. Most of these tumors originate in the digestive tract and cholangiocarcinoma rarely involves the ovary. A 60-year-old woman was admitted for the investigation of abdominal distension that had lasted 1 week. One and a half years prior, the patient had undergone choledochal cyst excision, Roux-en Y hepaticojejunostomy and cholecystectomy. Computed tomography scans of the abdomen revealed a papillary mass in the remnant distal common bile duct and enlargement of both ovaries with a huge amount of ascites. An explorative laparotomy disclosed no peritoneal seeding with resectable cholangiocarcinoma and bilateral ovarian mass. Pylorus-preserving pancreatoduodenectomy and bilateral salphingo-oophorectomy with hysterectomy were performed. Histologically, it was a well-differentiated adenocarcinoma and all surgical margins were free of tumor. Both ovarian masses were consistent with metastatic adenocarcinoma from the common bile duct. The patient received six cycles of postoperative adjuvant systemic chemotherapy, dying after 10 months due to pulmonary embolism. Korean Association of Hepato-Biliary-Pancreatic Surgery 2015-05 2015-05-31 /pmc/articles/PMC4494081/ /pubmed/26155281 http://dx.doi.org/10.14701/kjhbps.2015.19.2.75 Text en Copyright © 2015 by The Korean Association of Hepato-Biliary-Pancreatic Surgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Seung Eun
Choi, Yoo Shin
Kim, Mi Kyung
Oh, Hyoung-Chul
Do, Jae Hyuk
Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title_full Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title_fullStr Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title_full_unstemmed Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title_short Bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
title_sort bilateral ovarian metastasis from distal common bile duct carcinoma developing after choledochal cyst excision
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4494081/
https://www.ncbi.nlm.nih.gov/pubmed/26155281
http://dx.doi.org/10.14701/kjhbps.2015.19.2.75
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