PMC6151096_01
The tumor (arrow) in uterine rectal fossa disappeared.. Notes: (A) Pretreatment of olaparib. (B) Posttreatment of olaparib.
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CT of the chest and abdomen showed multiple nodular annular enhancement lesions in the left and right lobes of the liver, and left supraclavicular swollen lymph nodes, which considered metastasis; bilateral neck, hepatic gastric space, and retroperitoneal multiple lymph nodes were smaller than before (March 15, 2017); uterine rectal fossa nodules were considered enlarged lymph node (1.5x2.3 cm) (Figure 1) on June 2, 2017. CA125 level decreased to 60.1 mu/mL, and CA50 level decreased to 40.3 mu/mL on July 10, 2017. CA19.9, CA125, and CA50 all returned to normal level on August 25, 2017. CT of the chest and abdomen showed that multiple low-density lesions in the liver are the same as before (Figure 2), the left supraclavicular fossa, left hilus pulmonis, hepatic gastric space, and para-aortic lymph nodes are the same as before; the former uterine rectal fossa nodules disappeared (Figure 1) on March 29, 2018.
The new tumor (arrowhead) in the right lobe of the liver is the same as before.. Notes: (A) Pretreatment of olaparib. (B) Posttreatment of olaparib.
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MRI of the upper abdomen showed that multiple nodules in the liver may be intrahepatic metastases on June 2, 2017, in which a new lesion (arrowhead in Figure 2) in the right lobe of the liver was found (0.8x0.6 cm). CA125 level decreased to 60.1 mu/mL, and CA50 level decreased to 40.3 mu/mL on July 10, 2017. CA19.9, CA125, and CA50 all returned to normal level on August 25, 2017. CT of the chest and abdomen showed that multiple low-density lesions in the liver are the same as before (Figure 2), the left supraclavicular fossa, left hilus pulmonis, hepatic gastric space, and para-aortic lymph nodes are the same as before; the former uterine rectal fossa nodules disappeared (Figure 1) on March 29, 2018.