Six cases of ovarian or cervical tumors metastasized from breast carcinoma.
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Common sites of distant metastasis from breast carcinomas are bone, liver and brain, and the involvement of gynecological organs is relatively rare. In our Department between 1971 and 1992, 5 ovarian and 1 cervical carcinomas metastasized from breast cancer were encountered. All 6 patients had undergone radical mastectomy one to 3 years before the metastases were detected.<BR>Of the 5 patient with metastatic ovarian lesions, 4 had multiple bone metastases and were referred to us for surgery. None of the 4 patients were associated with gynecological symptoms or ovarian enlargement. Metastases were diagnosed by histological examination of the resected ovaries. In the remaining patient who complained of lower abdominal distention, ultrasonography and MRI showed left ovarian enlargement, which was due to mucinous cystadenoma coexistent with small foci of metastatic tumors. Therefore, early detection of ovarian lesions metastatic from breast cancer may be difficult even by ultrasonography or MRI.<BR>A patient with secondary cervical carcinoma metastatic from breast cancer had noticed abnormal genital bleeding. Pelvic examination revealed an enlarged cervix with positive vaginal cytology. Complete response of the tumor was achieved by intraarterial infusion chemotherapy followed by radiotherapy. A review of 26 cases in the literature also suggests that survival of these patients may be improved by radiation with or without chemotherapy.
- 近畿産科婦人科学会の論文
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