Isolated gastric recurrence from ovarian carcinoma: A case report

Liu,Qian; Yu,Qian‑Qian; Wu,Hao; Zhang,Zhi‑Hong; Guo,Ren‑Hua

doi:10.3892/ol.2015.2887

Isolated gastric recurrence from ovarian carcinoma: A case report

Authors:
- Qian Liu
- Qian‑Qian Yu
- Hao Wu
- Zhi‑Hong Zhang
- Ren‑Hua Guo
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Affiliations: Department of Oncology, Huaiyin Hospital of Huai'an City, Huai'an, Jiangsu 223300, P.R. China, Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P.R. China, Department of Pathology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P.R. China
Published online on: January 19, 2015 https://doi.org/10.3892/ol.2015.2887
Pages: 1173-1176

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Abstract

Although ovarian metastasis secondary to gastric cancer (Krukenberg tumor) has been extensively described in the literature, gastric metastasis from ovarian carcinoma is rare. The present case report describes a patient with gastric metastasis from ovarian carcinoma. A 51‑year‑old female with previously treated ovarian carcinoma of stage III according to the International Federation of Gynecology and Obstetrics was admitted to the Department of Oncology, First Affiliated Hospital of Nanjing Medical University (Nanjing, China) with high serum carbohydrate antigen‑125 levels. Endoscopic ultrasound and 18F‑fluorodeoxyglucose positron emission tomography̸computed tomography scanning revealed a lesion in the stomach with the typical appearance of a gastrointestinal stromal tumor. The histopathological examination revealed infiltration of the resected specimens by metastatic serous adenocarcinoma and a comparison with the previously resected ovarian specimen confirmed disease recurrence. Although isolated gastric recurrence from ovarian carcinoma is rare, when a patient has a history of ovarian carcinoma (particularly with a high CA‑125 level) and when the imaging results show a mass in the stomach wall, metastasis from ovarian carcinoma should be considered.

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