Metastases of sigmoid colon cancer into the ovary: Difficulties in diagnostics and treatment planning

Abstract

Purpose. To show the capabilities of multispiral computed tomography with contrast enhancement (MSCT with contrast) and magnetic resonance imaging (MRI) in the diagnosis of secondary ovarian tumors, demonstrate the importance of these imaging methods in choosing the tactics of further surgical treatment. Materials and methods. A clinical observation of patient B., 51 years old, with complaints of pain in the lower abdomen, an increased abdomen volume, constipation, a decrease in body weight by 20 kg over the last 3 months, shortness of breath with little physical exercises, general weakness, rapid fatigue is presented. To identify the pathology, the patient underwent a comprehensive examination, including MSCT of the chest and abdominal organs with intravenous contrast enhancement, as well as MRI. Results. MSCT with CU and MRI revealed an extensive cystic solid formation with lumpy contours, with uneven accumulation of contrast agent, extending from the pelvic cavity to the epigastric region, originating from the right ovary; effusion in the right pleural cavity and ascites. Conclusion. Diagnosis of secondary ovarian tumors is difficult and challenging because they are often misdiagnosed as primary ovarian cancer, especially in the case of mucinous adenocarcinomas. MSCT allows you to reflect accurate information about the presence and nature of education, which further determines the choice of adequate tactics for treating a patient.