両側卵巣転移によりＭｅｉｇｓ症候群を呈した上行結腸癌の１例

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  • A Case of Meigs' Syndrome Resulting from Bilateral Ovarian Metastasis of Ascending Colon Cancer.

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A 48-year-old woman admitted for bilateral ovarian tumor and ascites was suspected of metastatic ovarian tumor from computed tomography (CT) findings of a bilateral tumor with a mixed cystic and solid portion, ascending colon cancer was shown by colonic fiberscopy. Chest radiography showed bilateral pleural effusion. Chest and abdominal paracenteses was done, but both cytologic examination of pleural effusion and ascites showed no malignant cells. Primary ascending colon cancer with secondary ovarian tumors and peritoneal and pleural metastatic involvement was suspected, so we conducted surgery after neoadjuvant chemotherapy. Laparotomy showed a bilateral ovarian tumor 15 cm in diameter necessitating right hemicolectomy with D3 dissection and total hysterectomy with bilateral oophorectomy. Intraoperative cytologic examination of ascites showed no malignant cells. Histologic examination of resected specimens confirmed well-differentiated adenocarcinoma of the ascending colon and ovarian metastasis from the primary colon. Pleural effusion disappeared on 11 postoperative day. Based on these findings, she had Meigs'syndrome from ovarian metastasis which is very rare, but is important to be considered and check positively in such a case.

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