Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 28, 2008; 14(32): 5096-5097
Published online Aug 28, 2008. doi: 10.3748/wjg.14.5096
Published online Aug 28, 2008. doi: 10.3748/wjg.14.5096
Large solitary ovarian metastasis from colorectal cancer diagnosed by endoscopic ultrasound
Bhavani Moparty, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas 77555, United States
Guillermo Gomez, Department of Surgery, University of Texas Medical Branch, Galveston, Texas 77555, United States
Manoop S Bhutani, Department of Gastrointestinal Medicine and Nutrition, UT MD Anderson Cancer Center, Houston TX 77030-4009, United States
Author contributions: Moparty B, Gomez G and Bhutani MS designed the study; Moparty B wrote the paper; Gomez G and Bhutani MS edited and revised the paper; Bhutani MS approved the final manuscript.
Correspondence to: Manoop S Bhutani, MD, FASGE, FACG, FACP, Professor of Medicine, Department of Gastrointestinal Medicine and Nutrition, Unit 436, UT MD Anderson Cancer Center, Faculty Center Room 10.2028, 1515 Holcombe Blvd, Houston TX 77030-4009, United States. manoop.bhutani@mdanderson.org
Telephone: +1-713-7945073 Fax: +1-713-5634398
Received: January 5, 2008
Revised: July 18, 2008
Accepted: July 25, 2008
Published online: August 28, 2008
Revised: July 18, 2008
Accepted: July 25, 2008
Published online: August 28, 2008
Abstract
A case is presented of rectal carcinoma in which during staging by endoscopic ultrasound (EUS) a second large extrarectal mass was seen not otherwise visualized on computer tomography (CT) that was a solitary ovarian metastasis. The surgeon was alerted to the EUS finding prior to the planned laparoscopic colectomy. On retrospective review of the CT pelvis after surgery, the radiologist could still not diagnose the ovarian lesion separated from the primary rectal tumor due to their close proximity. However, on EUS we were able to clearly see on real-time imaging that there was a distinct peri-rectal mass apart from the primary rectal tumor.
Keywords: Colorectal cancer; Endoscopic ultrasound; Ovary; Ovarian metastasis; Endoscopic ultrasound; Endosonography