Huge Metastatic Multicystic Ovarian Cancer with Liver Involvement: A Case Report
Journal of Cancer Treatment and Research
Volume 2, Issue 3, May 2014, Pages: 21-26
Received: May 19, 2014; Accepted: Jun. 20, 2014; Published: Jun. 30, 2014
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Authors
Ngim, Ogbu Ewezu, Division of Hepatopancreatobiliary Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Ago, Boniface Uji, Gynaecological Oncology Firm, Department of Obstetrics and Gynaecology, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Ogbudu Stephen, Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Nwagboso Chima, Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Echei Chidiebere, Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Etiuma, Anietimfom Umoh, Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Bassey, Okon Odokwo, Division of Cardiothoracic Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
Ndoma-Egba Rowland, Division of Hepatopancreatobiliary Surgery, Department of Surgery, University of Calabar and University of Calabar Teaching Hospital , Calabar, Cross River State, Nigeria
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Abstract
Introduction: Ovarian cancers are gynaecological malignancies described as the most lethal because they often present at the advanced stages. Metastasis to the liver parenchyma occurs in stage IVB disease. The diaphram is a tumour sanctuary site as most deposits are missed during cytoreductive surgeries and chemotherapy. Materials and method: This is a case presentation of a 39 year old lady with recurrent huge multicystic ovarian cancer with liver and diaphragmatic involvement. Abdominal ultrasound scan and a CT-scan were done amongst other investigations. This patient was co-managed by the Hepato-Pancreato-Biliary surgeons, Cardiothoracic Surgeons and the Gynaecologic oncologist. She had cytoreductive surgery and adjuvant chemotherapy. Conclusion: Diaphragmatic involvement from ovarian tumour is rare and represents an advanced disease. The superiority of CT-scan over abdominal ultrasound scan in this case is incontrovertible. A multidisciplinary approach is an important cornerstone in it’s management.
Keywords
Ovarian Cancers, Liver and Diaphragmatic Involvement, CT-Scan
To cite this article
Ngim, Ogbu Ewezu, Ago, Boniface Uji, Ogbudu Stephen, Nwagboso Chima, Echei Chidiebere, Etiuma, Anietimfom Umoh, Bassey, Okon Odokwo, Ndoma-Egba Rowland, Huge Metastatic Multicystic Ovarian Cancer with Liver Involvement: A Case Report, Journal of Cancer Treatment and Research. Vol. 2, No. 3, 2014, pp. 21-26. doi: 10.11648/j.jctr.20140203.11
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