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KMID : 0191120020170030415
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Journal of Korean Medical Science
2002 Volume.17 No. 3 p.415 ~ p.418
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Hepatic Resection of Metastatic Tumor from Serous Cystadenocarcinoma of the Ovary
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Byong Ro Kim/Jong Hoon Lee
Kyung Sik Kim/Cheol Woon Chung/Young Nyun Park/Byong Ro Kim
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Abstract
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Metastatic carcinomas are the largest group of malignant tumors of the liver. But parenchymal liver metastasis from cystic ovarian adenocarcinoma is very rare. We report a case in which the resection of metastatic liver neoplasm from ovarian serous cystadenocarcinoma was done 7 yr after initial treatment. A 48-yr-old oriental housewife complained of easy fatigability and right lower quadrant discomfort. The hepatic mass was detected by ultrasonographic examination. Serum albumin, bilirubin, and aspartate aminotransferase/alanine aminotransferase were normal. Alkaline phosphatase level was slightly increased at 146 IU/L. A tumor marker study showed alpha-fetoprotein 0.97 IU/mL, carcinoembryonic antigen 0.965 ng/mL, cancer antigen 125 1,267 ng/mL and CA 19-9 106.1 ng/mL. The operation involved cholecystectomy and segmentectomy VI and VII of the liver. The patient recovered from the surgery without any complication. On the 10th postoperative day, the patient received a single-regimen chemotherapy with paclitaxel (Taxol, 155 mg/m BSA) and was discharged. She has been carefully followed-up without any evidence of recurrence after completion of the remaining 5 cycles of chemo-therapy, at intervals of three weeks.
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KEYWORD
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Ovarian Neoplasms, Cystadenocarcinoma, Serous, Neoplasm Metastasis, Hepatectomy,
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