[Successful resection of recurrent lesions in a patient with ovarian torsion diagnosed with rectal cancer].
We report the successful resection of recurrent tumors, including brain metastasis, in a patient with StageIV rectal cancer. A 29-year-old female patient was admitted with lower abdominal pain to the gynecological department in April 2005. The patient underwent emergency surgery following the diagnosis of left ovarian torsion. She was transferred to the Department of Surgery with suspected rectal cancer based on a pathological diagnosis of a Krukenberg's tumor. She underwent surgery for local advanced cancer using high anterior resection, hysterectomy, right oophorectomy, partial ileal resection, and appendectomy. In September 2007, she underwent very low anterior resection for an anastomotic recurrence. The patient then received 6 courses of modified 5-fluorouracil Leucovorin oxaliplatin (mFOLFOX6) as adjuvant chemotherapy. In March 2009, left paresis was observed. She underwent tumor resection and g-knife radiosurgery for brain metastasis in the right temporal lobe. In December 2009, metastasis in the right rectal muscle was resected following diagnosis by computed tomography (CT). In September 2013, she underwent further surgical resection of a tumor recurrence in the right rectal muscle. The pathological diagnosis of each resected tumor was metastatic rectal cancer. The patient has been disease-free since the last operation.
Dept. of Surgery, Tokyo Women's Medical University Medical Center East.
Yukio
Y
Shimojima
Kazuhiko
K
Yoshimatsu
Hajime
H
Yokomizo
Yuki
Y
Yano
Mao
M
Nakayama
Sachiyo
S
Okayama
Masaya
M
Satake
Atsuo
A
Matsumoto
Takashi
T
Fujimoto
Takefumi
T
Usui
Kentarou
K
Yamaguchi
Shunichi
S
Shiozawa
Takeshi
T
Shimakawa
Takao
T
Katsube
Yoshihiko
Y
Naritaka
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007725:Krukenberg Tumor / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D012008:Recurrence