Gastric metastasis from ovarian carcinoma: A case report and literature review

doi:10.3748/wjg.v18.i43.6341

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World Journal of Gastroenterology

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1007-9327

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Case Report

World J Gastroenterol. Nov 21, 2012; 18(43): 6341-6344
Published online Nov 21, 2012. doi: 10.3748/wjg.v18.i43.6341

Gastric metastasis from ovarian carcinoma: A case report and literature review

Jiang-Jiao Zhou, Xiong-Ying Miao

Jiang-Jiao Zhou, Xiong-Ying Miao, Department of General Surgery, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China

Author contributions: Zhou JJ managed the patient, reviewed the literature and prepared the manuscript; Miao XY revised the manuscript; and both authors have read and approved the final version for submission.

Correspondence to: Xiong-Ying Miao, MD, Department of General Surgery, The Second Xiangya Hospital, Central South University, No. 139 Middle Renmin Road, Changsha 410011, Hunan Province, China. 0219736@163.com

Telephone: +86-10-87788404 Fax: +86-10-87778360

Received: June 20, 2012
Revised: August 14, 2012
Accepted: August 25, 2012
Published online: November 21, 2012

Abstract

An isolated parenchymal gastric metastasis from ovarian carcinoma without any other sites of recurrence is extremely rare. Only two cases have been reported, both of which were symptomatic. We herein report such a case without any symptoms. A 61-year-old woman presented with a high cancer antigen-125 level without any other clinical manifestation. A subsequent ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) positron emission tomography/computed tomography scan revealed a submucosal mass with hypermetabolism of ¹⁸F-FDG (standardized uptake value: 5.36) in the gastric antrum. The final pathology after gastric antrectomy showed a metastatic gastric tumor from a primary ovarian carcinoma. We also performed an extensive literature review about gastric metastasis from ovarian carcinoma published until recently, and this is the first case of an isolated parenchymal gastric metastasis from ovarian carcinoma without any symptoms.

Keywords: Ovarian carcinoma, Gastric antrum, Metastasis, Submucosal tumor, Parenchymal tumor