Metastatic mucinous ovarian adenocarcinoma: probable

Case contributed by Dr Jayanth Keshavamurthy

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

Age: 30

Extensive lytic and sclerotic bony metastasis with periosteal reaction involving the pubic bones bilaterally and a mainly sclerotic lesion at the left intertrochanteric region likely representing metastatic disease from invasive mucinous adenocarcinoma of the ovaries. Prominent air filled dilated loop of proximal small bowel.
 

CT

What are the findings?

The CT confirms the X ray abnormalities involving the bones.

Pathology in 2013.
A) LEFT INGUINAL NODE (EXCISION):
-    Metastatic ovarian mucinous adenocarcinoma.

B) LEFT LOWER QUADRANT PORT SITE (EXCISION):
-    Metastatic ovarian mucinous adenocarcinoma.

Final Pathologic Diagnosis in  April 2015 
A.  PELVIC MASS (BIOPSY):
-    Mucinous cystadenocarcinoma of ovary.

B.  PELVIC MASS (BIOPSY):
-    Mucinous cystadenocarcinoma of ovary.

Case Discussion

Read up causes for combined lytic and sclerotic metastasis.

 

Pathology confirms ovarian origin and patient had appendectomy many years prior to this diagnosis.

PlayAdd to Share

Case information

rID: 38711
Case created: 30th Jul 2015
Last edited: 17th Jun 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.