Presentation
Abdominal pain. History of left oophorectomy mucinous carcinoma arising in left ovary, few years later exploratory laparotomy showed mucinous adenocarcinoma of the right ovary, TAH/BSO, omentectomy, metastatic pelvic peritoneal implants. Completed 6 cycles chemotherapy.
Patient Data
Extensive lytic and sclerotic bony metastasis with periosteal reaction involving the pubic bones bilaterally and a mainly sclerotic lesion at the left intertrochanteric region. Prominent air-filled dilated loop of proximal small bowel.
The CT confirms the x-ray abnormalities involving the bones of extensive lytic and sclerotic bony metastasis with periosteal reaction involving the pubic bones bilaterally and a mainly sclerotic lesion at the left intertrochanteric region
Pathology from two years earlier
A) LEFT INGUINAL NODE (EXCISION):
- Metastatic ovarian mucinous adenocarcinoma.
B) LEFT LOWER QUADRANT PORT SITE (EXCISION):
- Metastatic ovarian mucinous adenocarcinoma.
Final Pathologic Diagnosis
A. PELVIC MASS (BIOPSY):
- Mucinous cystadenocarcinoma of ovary.
B. PELVIC MASS (BIOPSY):
- Mucinous cystadenocarcinoma of ovary.
Case Discussion
Pathology confirms ovarian origin and the patient had an appendectomy many years prior to this diagnosis.
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