Ovarian metastases from gallbladder mimics primary ovarian neoplasm in young patient: A case report

被引：3
作者：
Lee T.-Y. [1 ]
Wang C.-W. [2 ]
Chen T.-W. [1 ]
Chan D.-C. [1 ]
Liao G.-S. [1 ]
Fan H.-L. [1 ]
机构：
[1] Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325 Cheng-gong Rd Sec 2, Nei-hu, 114, Taipei
[2] Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, 325 Cheng-gong Rd Sec 2, Nei-hu, 114, Taipei
来源：
BMC Research Notes | / 11卷 / 1期
关键词：
Case report; Gallbladder cancer; Krukenberg tumor; Ovarian invasion;
D O I：
10.1186/s13104-018-3283-z
中图分类号：
学科分类号：
摘要：
Background: Gallbladder cancer is unusually seen but can result in highly mortality rate. It makes challenge to diagnose for clinicians due to present asymptomatic or non-specific clinical presentation including abdominal pain, anorexia. It usually also accompanies with cholelithiasis (incidence is 1-2%) and incidentally detected by radiologic examination such as ultrasound, computed tomography or intra-operative intervention accidentally. Gallbladder cancer results in highly fatal malignancy because it is difficult to early detect. The ovarian metastases from gallbladder mimics primary neoplasm isn't seen before and mentioned in English literatures before. Case presentation: A 28-year-old woman suffered from intermittently lower abdominal tenderness and nausea after meals for 3 years. The abdominal ultrasound revealed a right ovarian mass with fluid accumulation and the contrast CT of abdomen revealed a gallbladder fundus mass and liver tumor lesion located at segment 4. We arranged surgical intervention with radical cholecystectomy and debulking operation with salpingo-oophorectomy. The pathologic report revealed adenocarcinoma of gallbladder with liver, peritoneum, and right ovarian invasion. After surgical intervention, she also received adjuvant chemotherapy with Gemcitabine, Cetuximab, Cisplatin and Cyberknife. Conclusion: The non-specific symptoms make the challenge to difference the primary malignant neoplasm. The rarely diagnosis must take in consider if the gastrointestinal tract tumours coexist with ovarian tumours. © 2018 The Author(s).
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