A case of ruptured ovarian metastasis of small cell lung cancer

Ryuta Yamamoto; Kazunori Tobino; Kazuki Uchida; Ryunosuke Ooi; Kohei Yoshimine

doi:10.1016/j.rmcr.2022.101717

A case of ruptured ovarian metastasis of small cell lung cancer

Respir Med Case Rep. 2022 Jul 31:39:101717. doi: 10.1016/j.rmcr.2022.101717. eCollection 2022.

Authors

Ryuta Yamamoto¹, Kazunori Tobino^{1

2}, Kazuki Uchida¹, Ryunosuke Ooi¹, Kohei Yoshimine¹

Affiliations

¹ Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Japan.
² Department of Respiratory Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan.

Abstract

A 53-year-old woman with small-cell lung cancer (SCLC) presented at our hospital complaining of abdominal distention. Blood tests revealed rapidly progressive normocytic anemia and elevated lactate dehydrogenase levels. Pelvic magnetic resonance imaging revealed a left ovarian tumor and ascites. As her symptoms rapidly worsened, she underwent emergency surgery, which revealed a ruptured metastatic ovarian tumor of SCLC. Emergency surgery averted a life-threatening situation in this patient, and subsequent chemotherapy facilitated long-term survival. As seen from literature review, in female SCLC patients, ovarian metastasis and rupture is a rare but possible complication that should be considered because of its life-threatening nature.

Keywords: Metastatic ovarian cancer; Small cell lung cancer; Tumor rupture.

Publication types

Case Reports