クロダ ハジメ   Kuroda Hajime
  黒田 一
   所属   医学部 医学科(附属足立医療センター)
   職種   教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Pseudo-Meigs' syndrome caused by ovarian metastasis from colon cancer: report of a case.
掲載誌名 正式名:Surgery today
略  称:Surg Today
ISSNコード:09411291/09411291
掲載区分国外
巻・号・頁 33(5),pp.387-91
著者・共著者 Ohsawa Tomonori, Ishida Hideyuki, Nakada Hiroshi, Inokuma Shigehisa, Hashimoto Daijyo, Kuroda Hajime, Itoyama Shinji
発行年月 2003
概要 We report an extremely rare case of pseudo-Meigs' syndrome caused by ovarian metastases from colon cancer, and review the literature on this unusual entity. A 41-year-old woman was admitted for investigation of abdominal fullness and dyspnea. Preoperative examinations revealed a huge pelvic tumor, adenocarcinoma of the sigmoid colon, marked ascites, and bilateral pleural effusion. Laparotomy confirmed that the huge mass was comprised of bilateral ovarian tumors. Resection of the sigmoid colon and bilateral oophorectomies were performed. Although short-term intrathoracic drainage was required, the hydrothorax and ascites rapidly resolved in the postoperative period. The patient died of disseminated liver and bone metastases 8 months after her operation; however, ascites and hydrothorax were not clinically noted until death. This and five other reported cases demonstrate that ovarian metastasis from colorectal cancer may occasionally cause pseudo-Meigs' syndrome, and that resection of the ovarian lesions could improve the prognosis.
DOI 10.1007/s005950300088
PMID 12734738