A Case of Metastatic Gastric Cancer from Ovarian Cancer

Yoshihiro Kitayama, Yousuke Yoden, Nobuhiro Okamoto, Hajime Yamasaki* and Tomohisa Nagareda**

Department of Surgery, Kiyoukai Okamoto Hospital
Department of Surgery* and Pathology**, Takarazuka Municipal Hospital

We report a rare case of gastric cancer metastatizing from ovarian cancer. A 46-year-old woman with advanced gastric cancer and epigastral discomfort and weight loss underwent subtotal gastrectomy, but a tumor appeared over the lower abdomen during adjuvant chemotherapy. A complete gynecological examination delivered a definitive diagnosis of ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingooophorectomy. The comparison of ovarian and stomach tissue in postoperative micropathological findings indicated a stomach lesion in submucosa and immunohistological findings for CA125 suggested gastric cancer metastatizing from ovarian cancer.

Key words
ovarian cancer, metastatic gastric cancer

Reprint requests
Yoshihiro Kitayama Department of Surgery, Okamoto Hospital
1015-1 Higashibuki, Sasayama, 669-2202 JAPAN

Accepted
November 30, 2004

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