Solitary mesenteric recurrence of ovarian cancer.

Yoon, Keun Young; Jung, Yoon A; Rhim, Chae Chun; Kim, Sung Joo; Park, Young Han; Kang, Jung Bae; Jang, Pong Rheem

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(8):1161-1165.
Published online August 1, 2007.

Solitary mesenteric recurrence of ovarian cancer.

Keun Young Yoon, Yoon A Jung, Chae Chun Rhim, Sung Joo Kim, Young Han Park, Jung Bae Kang, Pong Rheem Jang

Department of Obstetrics and Gynecology, Hallym University Medical College, Korea. ccrhim@hallym.or.kr

Abstract

In epithelial ovarian cancer, solitary metastasis to mesentary is rare in the absence of apparent disease in other sites. We experienced one patient who developed isolated, solitary mesenteric metastasis of epithelial ovarian adenocarcinoma and underwent segmental resection of small bowel including mesentary to remove the recurrent disease. Rising CA125 heralded the recurrence and the patient was subsequently documented by computed tomography (CT) and PET-CT of the abdomen and pelvis with a high signal density noted only in the mesentery. There was no major postoperative complicathion. Solitary recurrence of epithelial ovarian cancer can occur in the absence of other demomstrable metastasis, so we report with brief review of literature.

Key Words: Mesentery, Ovarian cancer