关键词: Case report Esophageal metastasis Ovarian cancer

来  源:   DOI:10.1159/000534702   PDF(Pubmed)

Abstract:
UNASSIGNED: Esophageal involvement in high-grade serous ovarian carcinoma is a rare phenomenon when advanced systemic disease is detected. Dysphagia is the most common guide symptom. However, diagnosis is often delayed due to its submucosal process that is not early seen in endoscopic initial evaluation, while computerized tomography (CT) scan usually shows concentric thickening of the esophageal layers and gives the suspected diagnosis.
UNASSIGNED: We present the case of a patient who died of mediastinitis caused by an esophageal perforated ulceration due to infiltration of high-grade serous ovarian carcinoma. In addition, this is the first case report of severe esophageal candidiasis associated that delayed diagnosis and subsequent oncological treatment.
UNASSIGNED: Esophageal secondary infiltration must be suspected when a patient has a history of malignancy combined with consistent CT findings.
摘要:
当检测到晚期系统性疾病时,食管受累于高级别浆液性卵巢癌是一种罕见的现象。吞咽困难是最常见的指导症状。然而,诊断通常由于其粘膜下过程在内镜初步评估中没有早期发现而延迟。而计算机断层扫描(CT)扫描通常显示食管同心层增厚,并给出可疑诊断。
我们介绍了一例因高级别浆液性卵巢癌浸润导致的食管穿孔性溃疡而死于纵隔炎的患者。此外,这是首例与延迟诊断和随后的肿瘤治疗相关的严重食管念珠菌病的病例报告.
当患者有恶性肿瘤病史并有一致的CT表现时,必须怀疑食管继发性浸润。
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