@article{oai:nagoya.repo.nii.ac.jp:00024344, author = {Shigeyoshi, Itaru and Komori, Koji and Kinoshita, Takashi and Oshiro, Taihei and Ito, Seiji and Abe, Tetsuya and Senda, Yoshiki and Misawa, Kazunari and Ito, Yuichi and Uemura, Norihisa and Natsume, Seiji and Kawakami, Jiro and Ouchi, Akira and Tsutsuyama, Masayuki and Hosoi, Takahiro and Akazawa, Tomoyuki and Hayashi, Daisuke and Tanaka, Hideharu and Yatabe, Yasushi and Shimizu, Yasuhiro}, issue = {2}, journal = {Nagoya Journal of Medical Science}, month = {May}, note = {Metachronous ovarian metastasis of colorectal adenocarcinoma is mostly identified within 3 years. Here we present a case of a 64-year-old woman with cecal cancer who underwent right oophorectomy for ovarian metastasis. Imaging was performed because of abdominal bloating; it detected a swollen right ovary with ascites. On laparotomy, a right ovarian tumor and cecal cancer were identified. After right oophorectomy, a diagnosis of unilateral ovarian metastasis from colon cancer was made. One month later, right hemicolectomy was performed. Eight years after initial surgery, the patient presented with vaginal bleeding. A computed tomography (CT) scan revealed a pelvic mass approximately 10 cm in diameter, but no mass was evident on a CT image taken 6 months before. The patient was diagnosed with left ovarian metastasis from colon cancer. A third laparotomy revealed a left ovarian tumor, but there was no evidence of other metastases or peritoneal dissemination. Left oophorectomy was performed. Oophorectomy is considered to be associated with a survival benefit in ovarian metastasis without other extensive metastasis. However, ovarian metastasis is often bilateral. Although complete resection was achieved in the present case, the findings support performing prophylactic bilateral oophorectomy if metastasis is identified in a unilateral ovary.}, pages = {259--266}, title = {A case of metachronous left ovarian metastasis 8 years after surgery for cecal cancer and right ovarian metastasis: Report of a case}, volume = {79}, year = {2017} }