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KMID : 0882420070720050563
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Korean Journal of Medicine
2007 Volume.72 No. 5 p.563 ~ p.567
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Primary small cell carcinoma of the ovary and the long-term survival after systemic chemotherapy
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Kim Jin-Young
Kim Yong-Jin
Seong Hee-Jin
Park Woo-Young
Hong Yoon-Suk
Do Young-Rok
Song Hong-Suk
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Abstract
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Ovarian small cell carcinoma is a rare type of ovarian carcinoma with a poor prognosis.The hypercalcemic type is a
tumor of unknown histogenesis, and small cell carcinoma of the pulmonary type may be a component of a typical ovarian
surface epithelial-stromal tumor.
We experienced a case of primary ovarian small cell carcinoma and lung metastasis. The patient was a 65-year old
woman who complained of rectal heaviness. The chest x-ray and chest CT scan revealed multiple pulmonary metastases.
Abdominal MRI showed a well defined heterogenous solid mass with central necrosis arising from the right ovary and
hydronephrosis of the right kidney. Biopsy of the ovarian mass showed small cell carcinoma of the pulmonary type.
After 4 cycles of cisplatin (80 mg/m2, on day 1, iv), etoposide (100 mg/m2, on day 1 to 3, iv), the patient achieved
a complete response. The follow up chest CT scan 5 years after treatment revealed no evidence of disease.
We report here in a case of primary small cell carcinoma of the ovary with lung metastasis and we include a review
of the literature.(Korean J Med 72:563-567, 2007)
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KEYWORD
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Carcinoma, Ovary
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