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Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report

  • Authors:
    • Xingting He
    • Shuang Chen
    • Yejiang Zhou
    • Alexander Tobias Teichmann
    • Shugui Ding
    • Juan Fan
    • Xiuli Xiao
    • Dongmei Zhao
    • Liang Cai
    • Yifan Jiang
    • Xuemei Deng
    • Hongru Yang
  • View Affiliations / Copyright

    Affiliations: Department of Oncology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China, Department of Gastrointestinal Surgery, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China, Sichuan Provincial Center for Gynecology and Breast Diseases (Gynecology), Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China, Department of Pathology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China, Department of Radiology, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China, Department of Nuclear Medicine, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646000, P.R. China
    Copyright: © He et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 49
    |
    Published online on: December 8, 2023
       https://doi.org/10.3892/ol.2023.14182
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Abstract

Primary small bowel adenocarcinoma (SBA) is a rare gastrointestinal cancer with a low incidence of ovarian metastasis. Differential diagnosis of metastatic and primary ovarian cancer is often challenging. The present study reported the case of a 45‑year‑old woman with jejunal adenocarcinoma who presented with right ovarian, left ovarian, abdominopelvic implant and local recurrent bowel wall metastases successively after primary tumor resection. The ovarian masses of the patient originated from SBA, which was confirmed by immunohistochemical results. Following four comprehensive evaluations by an experienced multidisciplinary team (MDT) during the disease period, the patient underwent four operations, 28 cycles of chemotherapy, 24 cycles of targeted therapy and maintenance therapy for 8 months. As of February 2023, the patient has survived for 73 months and has a high quality of life. It is suggested that when a patient with SBA presents with an ovarian mass, the differential diagnosis between metastatic ovarian cancer and primary ovarian cancer mainly relies on immunohistochemistry. After a comprehensive evaluation by an experienced MDT, surgical resection is the primary treatment for advanced SBA, thus demonstrating some benefits for patients.
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Copy and paste a formatted citation
Spandidos Publications style
He X, Chen S, Zhou Y, Teichmann AT, Ding S, Fan J, Xiao X, Zhao D, Cai L, Jiang Y, Jiang Y, et al: Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report. Oncol Lett 27: 49, 2024.
APA
He, X., Chen, S., Zhou, Y., Teichmann, A.T., Ding, S., Fan, J. ... Yang, H. (2024). Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report. Oncology Letters, 27, 49. https://doi.org/10.3892/ol.2023.14182
MLA
He, X., Chen, S., Zhou, Y., Teichmann, A. T., Ding, S., Fan, J., Xiao, X., Zhao, D., Cai, L., Jiang, Y., Deng, X., Yang, H."Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report". Oncology Letters 27.2 (2024): 49.
Chicago
He, X., Chen, S., Zhou, Y., Teichmann, A. T., Ding, S., Fan, J., Xiao, X., Zhao, D., Cai, L., Jiang, Y., Deng, X., Yang, H."Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report". Oncology Letters 27, no. 2 (2024): 49. https://doi.org/10.3892/ol.2023.14182
Copy and paste a formatted citation
x
Spandidos Publications style
He X, Chen S, Zhou Y, Teichmann AT, Ding S, Fan J, Xiao X, Zhao D, Cai L, Jiang Y, Jiang Y, et al: Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report. Oncol Lett 27: 49, 2024.
APA
He, X., Chen, S., Zhou, Y., Teichmann, A.T., Ding, S., Fan, J. ... Yang, H. (2024). Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report. Oncology Letters, 27, 49. https://doi.org/10.3892/ol.2023.14182
MLA
He, X., Chen, S., Zhou, Y., Teichmann, A. T., Ding, S., Fan, J., Xiao, X., Zhao, D., Cai, L., Jiang, Y., Deng, X., Yang, H."Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report". Oncology Letters 27.2 (2024): 49.
Chicago
He, X., Chen, S., Zhou, Y., Teichmann, A. T., Ding, S., Fan, J., Xiao, X., Zhao, D., Cai, L., Jiang, Y., Deng, X., Yang, H."Non‑synchronous bilateral metastatic ovarian cancer originating from small bowel adenocarcinoma with multidisciplinary treatment: A case report". Oncology Letters 27, no. 2 (2024): 49. https://doi.org/10.3892/ol.2023.14182
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