Abstract
Secondary tumors of the ovary (STO) are tumors from extraovarian sites. Determining the primary versus secondary nature of an ovarian neoplasm is an exercise that may range from simple to essentially impossible due to similarities in gross, microscopic, and clinical features of some primary and secondary ovarian tumors. Adding to the difficulty is the fact that, in some cases, the pathologist (and clinician) may be unaware of a synchronous or historical extraovarian primary neoplasm. As misdiagnosis impacts prognosis and treatment, it is important that the pathologist have an appropriate index of suspicion of metastasis, and a grasp of the possible gross, microscopic, clinical, and immunohistochemical staining features of secondary ovarian tumors. Tumors metastatic to the ovary may originate from almost any primary site, especially in young females, in whom the rich vascularization of the ovaries may render them more susceptible to metastasis. As ovarian metastasis has been documented to appear many years after diagnosis, it is emphasized that a history of neoplasia of any type, even if remote, may be significant in the evaluation of an ovarian tumor with morphologic features unusual for a primary ovarian neoplasm.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kubeček O, Laco J, Špaček J et al (2017) The pathogenesis, diagnosis, and management of metastatic tumors to the ovary: a comprehensive review. Clin Exp Metastasis 34:295–307
Lerwill M, Young R (2011) Metastatic Tumors of the Ovary. In: Kurman R, Hedrick Ellenson L, Ronnet B (eds) Blaustein’s Pathology of the Female Genital Tract, 6th ed. Springer Science+Business Media LLC, Boston, MA, p 929–997
Skírnisdóttir I, Garmo H, Holmberg L (2007) Non-genital tract metastases to the ovaries presented as ovarian tumors in Sweden 1990–2003: Occurrence, origin and survival compared to ovarian cancer. Gynecol Oncol 105:166–171
Moore RG, Chung M, Granai CO et al (2004) Incidence of metastasis to the ovaries from nongenital tract primary tumors. Gynecol Oncol 93:87–91
de Waal YR, Thomas CM, Oei AL et al (2009) Secondary ovarian malignancies: frequency, origin, and characteristics. Int J Gynecol Cancer 19:1160–1165
Khunamornpong S, Suprasert P, Chiangmai WN, et al (2006) Metastatic tumors to the ovaries: a study of 170 cases in northern Thailand. Int J Gynecol Cancer 16:132–8
Yada-Hashimoto N, Yamamoto T, Kamiura S, et al (2003) Metastatic ovarian tumors: a review of 64 cases. Gynecol Oncol 89:314–7
Lee SJ, Bae JH, Lee AW et al (2009) Clinical Characteristics of Metastatic Tumors to the Ovaries. J Korean Med Sci 24:114
Bruls J, Simons M, Overbeek L et al (2015) A national population-based study provides insight in the origin of malignancies metastatic to the ovary. Virchows Arch 467:79–86
Bruchim I, Ben-Harim Z, Piura E et al (2013) Preoperative clinical and radiological features of metastatic ovarian tumors. Arch Gynecol Obstet 288:615–619
Kiyokawa T, Young R, Scully R (2006) Krukenberg Tumors of the Ovary: A clinicopathologic analysis of 120 cases with emphasis on their variable pathologic manifestations. Am J Surg Pathol 30:277–299
Clement P, Young R (2014) Metastatic Tumors of the Ovary (including Pseudomyxoma Peritonei, Hematolymphoid Neoplasms, and Tumors with Functioning Stroma). In: Atlas of Gynecologic Surgical Pathology, 3rd edn. Saunders Elsevier, London, p 482–512
Ronnett B, Yemelyanova A, Vang R et al (2008) Endocervical adenocarcinomas with ovarian metastases: analysis of 29 cases with emphasis on minimally invasive cervical tumors and the ability of the metastases to simulate primary ovarian neoplasms. Am J Surg Pathol 32:1835–1853
Pins M, Young R, Crum C et al (1997) Cervical squamous cell carcinoma in situ with intraepithelial extension to the upper genital tract and invasion of tubes and ovaries. Int J Gynecol Pathol 16:272–278
Khunamornpong S, Suprasert P, Pojchamarnwiputh S et al (2006) Primary and metastatic mucinous adenocarcinomas of the ovary: evaluation of the diagnostic approach using tumor size and laterality. Gynecol Oncol 101:152–157
Seidman J, Kurman R, Ronnett B (2003) Primary and metastatic mucinous adenocarcinomas in the ovaries: incidence in routine practice with a new approach to improve intraoperative diagnosis. The American Journal of Surgical Pathology 27:985–993
Yemelyanova A, Vang R, Judson K et al (2008) Distinction of primary and metastatic mucinous tumors involving the ovary: analysis of size and laterality data by primary stage with reevaluation of an algorithm for tumor classification. Am J Surg Pathol 32:128–138
Lewis M, Deavers M, Silva E, Malpica A (2006) Ovarian involvement by metastatic colorectal carcinoma: still a diagnostic challenge. Am J Surg Pathol 30:177–184
Strickland S, Wasserman J, Giassi A et al (2016) Immunohistochemistry in the diagnosis of mucinous neoplasms involving the ovary: The added value of SATB2 and biomarker discovery through protein expression database mining. Int J Gynecol Pathol 35:191–208
Lee K, Young R (2003) The distinction between primary and metastatic mucinous carcinomas of the ovary: gross and histologic findings in 50 cases. Am J Surg Pathol 27:281–292
Moh M, Krings G, Ates D et al (2016) SATB2 expression distinguishes ovarian metastases of colorectal and appendiceal origin from primary ovarian tumors of mucinous or endometrioid type. Am J Surg Pathol 40:419–32
Krasinskas AM, Goldsmith JD (2014) Immunohistology of the Gastrointestinal Tract. In: Dabbs DJ (ed) Diagnostic Immunohistochemistry: Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia, p 508–539
Rabban JT, Longacre TA (2014) Immunohistology of the female genital tract. In: Dabbs DJ (ed) Diagnostic Immunohistochemistry: Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia p 653–709
Young R (2006) From Krukenberg to today: the ever present problems posed by metastatic tumors in the ovary: part I. Advances in Anatomic Pathology 13:205–227
Grabiec J, Owen D (1985) Carcinoma of the stomach in young persons. Cancer 56:388–396
Bhargava R, Dabbs D (2014) Immunohistology of the Breast. In Dabbs DJ (ed) Diagnostic Immunohistochemistry: Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia, p 710–761
Yang C, Sun L, Zhang L et al (2017) Diagnostic utility of SATB2 in metastatic Krukenberg tumors of the ovary: an imunohistochemical study of 70 cases with comparison to CDX2, CK7, chromogranin, and synaptophysin. Am J Surg Pathol 42:160–171
Yu P, Huang L, Cheng G et al (2017) Treatment strategy and prognostic factors for Krukenberg tumors of gastric origin: report of a 10-year single-center experience from China. Oncotarget 8:82558–82570
Rosa F, Marrelli D, Morgagni P et al (2016) Krukenberg tumors of gastric origin: the rationale for surgical resection and perioperative treatments in a multicenter western experience. World J Surg 40:921–8
Lerwill MF, Young RH (2006) Ovarian metastases of intestinal-type gastric carcinoma: a clinicopathologic study of 4 cases with contrasting features to those of the Krukenberg tumor. Am J Surg Pathol 30:1382–8
Pilotti S, Rilke F, De Palo G (1982) Krukenberg tumor. Am J Surg Pathol 6(5):486–8
Young RH (2007) From Krukenberg to today: the ever present problems posed by metastatic tumors in the ovary. Part II. Adv Anat Pathol 14(3):149–77
Judson K, McCormick C, Vang R, Yemelyanova AV, Wu LS, Bristow RE, Ronnett BM (2008) Women with undiagnosed colorectal adenocarcinomas presenting with ovarian metastases: clinicopathologic features and comparison with women having known colorectal adenocarcinomas and ovarian involvement. Int J Gynecol Pathol 27:182–90
Lash RH, Hart WR (1987) Intestinal adenocarcinomas metastatic to the ovaries. A clinicopathologic evaluation of 22 cases. Am J Surg Pathol 11:114–21
Young RH, Hart WR (1998) Metastatic intestinal carcinomas simulating primary ovarian clear cell carcinoma and secretory endometrioid adenocarcinoma. A clinicopathologic and immunohistochemical study of five cases. Am J Surg Pathol 22:805–815.
Pinto C, Pini S, Di Fabio F et al (2014) Treatment strategy for rectal cancer with synchronous metastases: 65 consecutive Italian cases from the Bologna Multidisciplinary rectal cancer group. Oncology 86:135–42
Lee SJ, Lee J, Lim HY et al (2010) Survival benefit from ovarian metastatectomy in colorectal cancer patients with ovarian metastasis: a retrospective analysis. Cancer Chemother Pharmacol 66:229–35
Aparicio T, Zaanan A, Svrcek M et al (2014) Small bowel adenocarcinoma: epidemiology, risk factors, diagnosis and treatment. Dig Liver Dis 46:97–104
Mitsushita J, Netsu S, Suzuki K et al (2017) Metastatic ovarian tumors originating from a small bowel adenocarcinoma—a case report and brief literature review. Int J Gynecol Pathol 36:253–260
Kim CJ, Baruch-Oren T, Lin F et al (2016) Value of SATB2 immunostaining in the distinction between small intestinal and colorectal adenocarcinomas. J Clin Pathol 69:1046–1050
Chang HK, Yu E, Kim J et al (2010) Adenocarcinoma of the small intestine: a multi-institutional study of 197 surgically resected cases. Hum Pathol 41:1087–96
Hong SH, Koh YH, Rho SY et al (2009) Primary adenocarcinoma of the small intestine: presentation, prognostic factors and clinical outcome. Jpn J Clin Oncol 39:54–61
Zaaimi Y, Aparicio T, Laurent-Puig P et al (2016) Advanced small bowel adenocarcinoma: molecular characteristics and therapeutic perspectives. Clin Res Hepatol Gastroenterol 40:154–60
Ronnett BM, Kurman RJ, Shmookler BM et al (1997) The morphologic spectrum of ovarian metastases of appendiceal adenocarcinomas: a clinicopathologic and immunohistochemical analysis of tumors often misinterpreted as primary ovarian tumors or metastatic tumors from other gastrointestinal sites. Am J Surg Pathol 21:1144–55
Merino MJ, Edmonds P, LiVolsi V (1985) Appendiceal carcinoma metastatic to the ovaries and mimicking primary ovarian tumors. Int J Gynecol Pathol 4:110–20
Misdraji J (2015) Mucinous epithelial neoplasms of the appendix and pseudomyxoma peritonei. Mod Pathol 28 Suppl 1:S67–79
Young RH, Gilks CB, Scully RE (1991) Mucinous tumors of the appendix associated with mucinous tumors of the ovary and pseudomyxoma peritonei. A clinicopathologic analysis of 22 cases supporting origin in the appendix. Am J Surg Pathol 15:415–429
Dietrich CS 3rd, Desimone CP, Modesitt SC et al (2007) Primary appendiceal cancer: gynecologic manifestations and treatment options. Gynecol Oncol 104:602–6
Young RH (2004) Pseudomyxoma peritonei and selected other aspects of the spread of appendiceal neoplasms. Semin Diagn Pathol 21:134–50
Ronnett BM, Kurman RJ, Zahn CM et al (1995) Pseudomyxoma peritonei in women: a clinicopathologic analysis of 30 cases with emphasis on site of origin, prognosis, and relationship to ovarian mucinous tumors of low malignant potential. Hum Pathol 26:509–24
Ronnett BM, Seidman JD (2003) Mucinous tumors arising in ovarian mature cystic teratomas: relationship to the clinical syndrome of pseudomyxoma peritonei. Am J Surg Pathol 27:650–7
Stewart CJ, Ardakani NM, Doherty DA et al (2014) An evaluation of the morphologic features of low grade mucinous neoplasms of the appendix metastatic in the ovary, and comparison with primary ovarian mucinous tumors. Int J Gynecol Pathol 33:1–10
Hristov AC, Young RH, Vang R et al (2007) Ovarian metastases of appendiceal tumors with goblet cell carcinoidlike and signet ring cell patterns: a report of 30 cases. Am J Surg Pathol 31:1502–11
Tang LH, Shia J, Soslow RA et al (2008) Pathologic classification and clinical behavior of the spectrum of goblet cell carcinoid tumors of the appendix. Am J Surg Pathol 32:1429–1443
Moore L, Gajjar K, Jimenez-Linan M et al (2016) Prevalence of appendiceal lesions in appendectomies performed during surgery for mucinous ovarian tumors: a retrospective study. Int J Gynecol Cancer 26(8):1386–9
Ronnett BM, Yan H, Kurman RJ et al (2001) Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis. Cancer 92(1):85–91
Young RH, Hart WR (1989) Metastases from carcinomas of the pancreas simulating primary mucinous tumors of the ovary: a report of seven cases. Am J Surg Pathol 13:748–756
Vakiani E, Young RH, Carcangiu ML et al (2008) Acinar cell carcinoma of the pancreas metastatic to the ovary: a report of 4 cases. Am J Surg Pathol 32:1540–1545
Basturk O, Farris AB, Adsay V (2014) Immunohistology of the Pancreas and Hepatobiliary Tract. In: Dabbs DJ (ed) Diagnostic Immunohistochemistry: Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia p 540–583
Saung MT, Zheng L (2017) Current standards of chemotherapy for pancreatic cancer. Clin Ther Nov; 39:2125–2134
Young RH, Scully RE (1990) Ovarian metastasis from carcinoma of the gallbladder and extrahepatic bile ducts simulating primary tumors of the ovary: a report of six cases. Int J Gynecol Pathol 9:60–72
Corr BR, Mantia-Smaldone G, Cantor J et al (2013) Metastatic cholangiocarcinoma to the ovary: a case series. Int J Gynecol Pathol 32:562–5
Khunamornpong S, Lerwill MF, Siriaunkgul S et al (2008) Carcinoma of extrahepatic bile ducts and gallbladder metastatic to the ovary: a report of 16 cases. Int J Gynecol Pathol 27:366–379
Khunamornpong S, Siriaunkgul S, Suprasert P et al (2007) Intrahepatic cholangiocarcinoma metastatic to the ovary: a report of 16 cases of an underemphasized form of secondary tumor of the ovary that may mimic primary neoplasia. Am J Surg Pathol 31:1788–99
Zhuang X, Xiao YP, Tan LH et al (2017) Efficacy and safety of chemotherapy with or without targeted therapy in biliary tract cancer: A meta-analysis of 7 randomized controlled trials. J Huazhong Univ Sci Technolog Med Sci.37:172–178
Rizvi S, Gores GJ (2017) Emerging molecular therapeutic targets for cholangiocarcinoma. J Hepatol Sep;67:632–644
Khunamornpong S, Siriaunkgul S, Chunduan A (1999) Metastatic hepatocellular carcinoma of the ovary. Int J Gynecol Obstet Feb;64:189–191
Young RH, Gersell DJ, Clement PB et al (1992) Hepatocellular carcinoma metastatic to the ovary: a report of three cases discovered during life with discussion of the differential diagnosis of hepatoid tumors of the ovary. Hum Pathol 23:574–580
Su J-S, Chen Y-T, Wang R-C et al (2013) Clinicopathological characteristics in the differential diagnosis of hepatoid adenocarcinoma: A literature review. World J Gastroenterol. 19:321–327
Wang EA, Stein JP, Bellavia RJ et al (2017) Treatment options for unresectable HCC with a focus on SIRT with Yttrium-90 resin microspheres. Int J Clin Prac 71(11)
Robboy SJ, Scully RE, Norris HJ (1974) Carcinoid metastatic to the ovary. A clinicopathologic analysis of 35 cases. Cancer (Phila) 33:798–811
Strosberg J, Nasir A, Cragun J et al (2007) Metastatic carcinoid tumor to the ovary: a clinicopathologic analysis of seventeen cases. Gynecol Oncol 106(1):65–68
Mark J, Bush S, Glazer E et al (2015) Metastatic VIPoma presenting as an ovarian mass. Int J Surg Case Rep 17:167–169
Watt DG, Pandanaboyana S, Herrington CS et al (2013) Pancreatic glucagonoma metastasizing to the right ovary five years after initial surgery: a case report. JOP 10;14:510–514
Oberg KC, Wells K, Seraj IM et al (2002) ACTH secreting islet cell tumor of the pancreas presenting as bilateral ovarian tumors and Cushing’s syndrome. Int J Gynecol Pathol 21(3):276–280
Brown BL, Scharifker DA, Gordon R et al (1980) Bronchial carcinoid tumor with ovarian metastasis. A light microscopic and ultrasound study. Cancer 46:543–546
Hopping RA, Dockerty MB, Masson JC (1942) Carcinoid tumor of the appendix. Report of a case in which extensive intra-abdominal metastases occurred, including involvement of the right ovary. Arch Surg 45:613–622
Young RH, Scully RE (1985) Ovarian metastasis from cancer of the lung: problems in interpretation—a report of seven cases. Gynecol Oncol 21:337–350
Irving JA, Young RH (2005) Lung carcinoma metastatic to the ovary: a clinicopathologic study of 32 cases emphasizing their morphologic spectrum and problems in differential diagnosis. Am J Surg Pathol 29:997–1006
Srivastava A, Hornick JL (2009) Immunohistochemical staining for CDX-2, PDX-1, NESP-55, and TTF-1 can help distinguish gastrointestinal carcinoid tumors from pancreatic endocrine and pulmonary carcinoid tumors. Am J Surg Pathol 33:626–32
Rabban JT, Lerwill MF, McCluggage WG et al (2009) Primary ovarian carcinoid tumors may express CDX-2: a potential pitfall in distinction from metastatic intestinal carcinoid tumors involving the ovary. Int J Gynecol Pathol 28:41–48
Pasricha G, Padhi P, Daboul N et al (2017) Management of well-differentiated gastroenteropancreatic neuroendocrine tumors (GEPNETs): a review. Clin Ther 39:2146–2157
Young RH, Gersell DJ, Roth LM et al (1993) Ovarian metastasis from cervical carcinomas other than pure adenocarcinomas: a report of 12 cases. Cancer (phila) 15;71:407–418
Ramalingam P, Malpica A, Deavers MT (2012) Mixed endocervical adenocarcinoma and high-grade neuroendocrine carcinoma of the cervix with ovarian metastasis of the former component: a report of 12 cases. Int J Gynecol Pathol 31:490–496
Shimada M, Kigawa J, Nishimura R et al (2006) Ovarian metastasis in carcinoma of the uterine cervix. Gynecol Oncol 101:234–237
Reyes C, Murali R, Park KJ (2015) Secondary involvement of the adnexa and uterine corpus by carcinomas of the uterine cervix: a detailed morphologic description. Int J Gynecol Pathol 34:551–63
Nguyen L, Brewer CA, DiSaia PJ (1998) Ovarian metastasis of stage IB1 squamous cell cancer of the cervix after radical parametrectomy and oophoropexy. Gynecol Oncol 68:198–200
Karamurzin YS, Kiyokawa T, Parkash V et al (2015) Gastric type endocervical adenocarcinoma: an aggressive tumor with unusual metastatic patterns and poor prognosis. Am J Surg Pathol 39:1449–57
Zaino R, Whitney C, Brady MF et al (2001) Simultaneously detected endometrial and ovarian carcinomas—a prospective clinicopathologic study of 74 cases. Gynecol Oncol 83:355–362
Kline RC, Wharton JT, Atkinson EN et al (1990) Endometrioid carcinoma of the ovary: retrospective review of 145 cases. Gynecol Oncol 39:337–46
Soliman PT, Slomovitz BM, Broaddus RR et al (2004) Synchronous primary cancers of the endometrium and ovary: a single institution review of 84 cases Gynecol Oncol 94:456–462
Ramus SJ, Elmasry K, Luo Z et al (2008) Predicting clinical outcome in patients diagnosed with synchronous ovarian and endometrial cancer. Clin Cancer Res 14:5840–5848
Jain V, Sekhon R, Pasricha S et al (2017) Clinicopathological characteristics and prognostic factors of synchronous endometrial and ovarian cancers- a single-institute review of 43 cases. Int J Gynecol Cancer 27:938–946
Lim YK, Padma R, Foo L et al (2011) Survival outcome of women with synchronous cancers of endometrium and ovary: a 10 year retrospective cohort study. J Gynecol Oncol 22:239–243
Bese T, Sal V, Kahramanoglu I, Tokgozoglu N et al (2016) Synchronous primary cancers of the endometrium and ovary with the same histopathologic type versus endometrial cancer with ovarian metastasis: a single institutional review of 72 cases. Int J Gynecol Cancer 26:394–406
Kim KR, Scully RE (1990) Peritoneal keratin granulomas with carcinomas of endometrium and ovary and atypical polypoid adenomyoma of endometrium. A clinicopathologic analysis of 22 cases. Am J Surg Pathol 14:925–932
Scully RE, Young RH, Clement PB (1998) Tumors of the ovary, maldeveloped gonads, fallopian tube, and broad ligament. Armed Forces Institute of Pathology, Washington, D.C.
Chao A, Wu RC, Jung SM et al (2016) Implication of genomic characterization in synchronous endometrial and ovarian cancers of endometrioid histology. Gynecol Oncol 143:60–67
Anglesio MS, Wang YK, Maassen M et al (2016) Synchronous Endometrial and Ovarian Carcinomas: Evidence of Clonality. J Natl Cancer Inst 108(6):djv428
Schultheis AM, Ng CK, De Filippo MR et al (2016) Massively Parallel Sequencing-Based Clonality Analysis of Synchronous Endometrioid Endometrial and Ovarian Carcinomas. J Natl Cancer Inst 108(6):djv427
Fadare O, Parkash V, Gwin K et al (2013) Utility of α-methylacyl-coenzyme-A racemase (p504s) immunohistochemistry in distinguishing endometrial clear cell carcinomas from serous and endometrioid carcinomas. Hum Pathol 44:2814–21
Al-Maghrabi JA, Butt NS, Anfinan N et al (2017) Infrequent Immunohistochemical Expression of Napsin A in Endometrial Carcinomas. Appl Immunohistochem Mol Morphol 25:632–638
Koyuncuoğlu M, Saatli B, Yıldırım N (2017) Ovarian metastasis of Müllerian adenosarcoma of the cervix with sarcomatous overgrowth. Turk J Obstet Gynecol 14:195–198
Acosta-Sison H (1958) The relative frequency of various anatomic sites as the point of first metastasis in 32 cases of chorioepithelioma. Am J Obstet Gynecol 75:1149–1152
Milingos D, Doumplis D, Savage P, Seckl M, Lindsay I, Smith JR (2007) Placental site trophoblastic tumor with an ovarian metastasis. Int J Gynecol Cancer 17:925–927
Young RH, Scully RE (1990) Sarcomas metastatic to the ovary. A report of 21 cases. Int J Gynecol Pathol 9:231–252
Young RH, Prat J, Scully RE (1984) Endometrial stromal sarcomas of the ovary. A clinicopathologic analysis of 23 cases. Cancer 53:1143–1155
Khalifa MA, Hansen CH, Moore JL Jr et al (1996) Endometrial stromal sarcoma with focal smooth muscle differentiation: recurrence after 17 years: a follow-up report with discussion of the nomenclature. Int J Gynecol Pathol 15:171–176
Leitao MM, Sonoda Y, Brennan MF et al (2003) Incidence of lymph node and ovarian metastasis in leiomyosarcoma of the uterus. Gynecol Oncol 91:209–212
Oliva E, Egger JF, Young RH (2014) Primary endometrioid stromal sarcoma of the ovary: a clinicopathologic study of 27 cases with morphologic and behavioral features similar to those of uterine low-grade endometrial stromal sarcoma. Am J Surg Pathol 38:305–315
Savage J, Adams E, Veras E et al (2017) Choriocarcinoma in Women: Analysis of a Case Series With Genotyping. Am J Surg Pathol 41:1593–1606
Garavaglia E, Pella F, Montoli S et al (2010) Treatment of recurrent or metastatic low-grade endometrial stromal sarcoma: three case reports. Int J Gynecol Cancer 20:1197–1200
Nakamura K, Nakayama K, Ishikawa M et al (2016) Letrozole as second-line hormonal treatment for recurrent low-grade endometrial stromal sarcoma: A case report and review of the literature. Oncol Lett 12:3856–3860
Baek MH, Park JY, Rhim CC et al (2016) Immunohistochemical Characterization of Histone Deacetylase as a Potential Prognostic Marker and Therapeutic Target in Endometrial Stromal Sarcoma. Anticancer Res 36:2527–34
Ricci S, Stone RL, Fader AN (2017) Uterine leiomyosarcoma: Epidemiology, contemporary treatment strategies and the impact of uterine morcellation. Gynecol Oncol. Apr;145:208–216
Piek JM, Kenemans P, Verheijen RH (2004) Intraperitoneal serous adenocarcinoma: a critical appraisal of three hypotheses on its cause. Am J Obstet Gynecol 191:718–732
Kindelberger DW, Lee Y, Miron A et al (2007) Intraepithelial carcinoma of the fimbria and pelvic serous carcinoma: Evidence for a causal relationship. Am J Surg Pathol 31:161–169
Crum CP (2009) Intercepting pelvic cancer in the distal fallopian tube: theories and realities. Mol Oncol 3:165–170
Kurman RJ, Shih IeM (2010) The origin and pathogenesis of epithelial ovarian cancer: a proposed unifying theory. Am J Surg Pathol 34:433–43
Nik NN, Vang R, Shih IeM et al (2014) Origin and pathogenesis of pelvic (ovarian, tubal, and primary peritoneal) serous carcinoma. Annu Rev Pathol 9:27–45
Vang R, Wheeler JE (2011) Diseases of the fallopian tube and paratubal region. In: Kurman R, Hedrick Ellenson L, Ronnet B (eds) Blaustein’s Pathology of the Female Genital Tract, 6th ed. Springer Science+Business Media LLC, Boston, MA, p 529–578
Alvarado-Cabrero I, Young RH, Vamvakas EC et al (1999) Carcinoma of the fallopian tube: a clinicopathologic study of 105 cases with observations on staging and prognostic factors. Gynecol Oncol 72:367–379
Stewart SL, Wike JM, Foster SL et al (2007) The incidence of primary fallopian tube cancer in the United States. Gynecol Oncol 107:392–397
Obermair A, Taylor KH, Janda M et al (2001) Primary fallopian tube carcinoma: the Queensland experience. Int J Gynecol Cancer 11:69–72
Cass I, Holschneider C, Datta N et al (2005) BRCA-mutation-associated fallopian tube carcinoma: a distinct clinical phenotype? Obstet Gynecol 106:1327–1334
Levine DA, Argenta PA, Yee CJ et al (2003) Fallopian tube and primary peritoneal carcinomas associated with BRCA mutations. J Clin Oncol 21:4222–4227
Wheal A, Jenkins R, Mikami Y et al (2017) Primary Mucinous Carcinoma of the Fallopian Tube: Case Report and Review of Literature. Int J Gynecol Pathol 36:393–399
Movahedi-Lankarani S, Krishnamurti U, Bell DA et al (2017) Protocol for the examination of specimens from patients with primary tumors of the ovary, fallopian tube, or peritoneum. Version: OvaryFallopian 1.0.0.1. College of American Pathologists (CAP)
McCluggage WG, Hirschowitz L, Gilks CB et al (2017) The Fallopian Tube Origin and Primary Site Assignment in Extrauterine High-grade Serous Carcinoma: Findings of a Survey of Pathologists and Clinicians. Int J Gynecol Pathol 36:230–239
Bolton KL, Chenevix-Trench G, Goh C et al (2012) Association between BRCA1 and BRCA2 mutations and survival in women with invasive epithelial ovarian cancer. JAMA 307:382–390
De Jaeghere E, Vandecasteele K, Claes K et al (2017) Incorporating PARP-inhibitors into clinical routine: A tailored treatment strategy to tackle ovarian cancer. Acta Clin Belg 72:6–11
Pimentel C, Becquet M, Lavoue V et al (2016) Ovarian metastasis from breast cancer: a series of 28 cases. Anticancer Res 36:4195–4200
Bigorie V, Morice P, Duvillard P et al (2010) Ovarian metastases from breast cancer: a report of 29 cases. Cancer 116:799–804
Gagnon Y, Tetu B (1989) Ovarian metastases of breast carcinoma. A clinicopathologic study of 59 cases. Cancer 64(4):892–898
Struewing JP, Hartge P, Wacholder S et al (1997) The risk of cancer associated with specific mutations of BRCA1 and BRCA2 among Ashkenazi Jews. N Eng J Med 336:1401–1408
Curtin JP, Barakat RR, Hoskins WJ (1994) Ovarian disease in women with breast cancer. Obstet Gynecol 84:449–452
Yagi Y, Maeda T, Yoshimitsu Y et al (2014) A case of breast cancer treated with chemotherapy after resection of giant ovarian metastasis. Gan To Kagaku Ryoho 41:633–635
Harris M, Howell A, Chrissohou M et al (1984) A comparison of the metastatic pattern of infiltrating lobular carcinoma and infiltrating ductal carcinoma of the breast. Br J Cancer 50:23–30
Bennett JA, Young RH, Chuang AY et al (2018) Ovarian metastasis of breast cancers with signet ring cells: a report of 17 cases including 14 Krukenberg tumors. Int J Gynecol Pathol 37:507–515
Hagemann IS, Pfeifer JD, Cao D (2013) Mammaglobin expression in gynecologic adenocarcinomas. Hum Pathol 44:628–635
Miettinen M, McCue PA, Sarlomo-Rikala M et al (2014) GATA3: a multispecific but potentially useful marker in surgical pathology: a systematic analysis of 2500 epithelial and nonepithelial tumors. Am J Surg Pathol 38:13–22
Thway K, Noujaim J, Zaidi S et al (2016) Desmoplastic Small Round Cell Tumor: Pathology, Genetics, and Potential Therapeutic Strategies. Int J Surg Pathol 24:672–684
Fenzl V, Prkacin I, Skrtic A (2011) Malignant melanoma ovarian metastasis mimicking acute tuboovarian abscess. Eur J Gynaecol Oncol 32:582–584
Mandato VD, Kobal B, Di Stefano A et al (2010) Choroidal melanoma metastasized to the ovary: case report and review of the literature. Eur J Gynaecol Oncol. 31:109–113
Fitzgibbons PL, Martin SE, Simmons TJ (1987) Malignant melanoma metastatic to the ovary. Am J Surg Pathol 11:959–964
Gupta D, Deavers MT, Silva EG et al (2004) Malignant melanoma involving the ovary: a clinicopathologic and immunohistochemical study of 23 cases. Am J Surg Pathol 28:771–80
Young RH, Scully RE (1991) Malignant melanoma metastatic to the ovary: a clinicopathologic analysis of 20 cases. Am J Surg Pathol 15:849–860
Lobo J, Pinto C, Freitas M et al (2017) Ovarian metastasis from uveal melanoma with MLH1/PMS2 protein loss in a patient with germline MLH1 mutated lynch syndrome: consequence or coincidence? Virchows Arch 470:347–352
Karateke A, Tuğ N, Sahin D (2011) Metastatic ovarian malignant melanoma with no obvious primary. J Turk Ger Gynecol Assoc 12:181–182
Prieto VG. Immunohistology of melanocytic neoplasms (2014) In Dabbs DJ (ed) Diagnostic Immunohistochemistry:Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia
McCluggage WG, Bissonnette JP, Young RH et al (2006) Primary malignant melanoma of the ovary: a report of 9 definite or probable cases with emphasis on their morphologic diversity and mimicry of other primary and secondary ovarian neoplasms. Int J Gynecol Pathol 25:321–329
Zikry J, Korta DZ, Chapman LW et al (2017) Melanoma arising in an ovarian cystic teratoma: a systematic review of presentation, treatment, and outcomes. Arch Gynecol Obstet 296:397–404
Liang L, Huang H, Dadhania V et al (2016) Renal cell carcinoma metastatic to the ovary or fallopian tube: a clinicopathological study of 9 cases. Hum Pathol 51:96–102
Young RH, Hart WR (1992) Renal cell carcinoma metastatic to the ovary: a report of three cases emphasizing possible confusion with ovarian clear cell carcinoma. Int J Gynecol Pathol 11:96–104
Fadare O, Desouki MM, Gwin K et al (2017) Clear Cell Renal Cell Carcinoma Metastatic to the Gynecologic Tract: A Clinicopathologic Analysis of 17 Cases. Int J Gynecol Pathol 37:525–535
Kassouf W, Binsaleh S, Cohen DD et al (2004) Bellini duct carcinoma with ovarian metastasis. Can J Urol. 11:2461–2462
Netto GJ, Epstein JI (2014) Immunohistology of the bladder, kidney and testis. In: Dabbs DJ (ed) Diagnostic Immunohistochemistry:Theranostic and Genomic Applications. 4th edn. Saunders Elsevier, Philadelphia
Irving JA, Vasques DR, McGuinness TB et al (2006) Krukenberg tumor of renal pelvic origin: report of a case with selected comments on ovarian tumors metastatic from the urinary tract. Int J Gynecol Pathol 25:147–150
Young RH, Scully RE (1998) Urothelial and ovarian carcinomas of identical cell types: problems in interpretation. A report of three cases and review of the literature. Int J Gynecol Pathol 7:197–211
Min KW, Paik SS, Han H et al (2014) Tumour-to-tumour metastasis of lung adenocarcinoma to ovarian serous cystadenoma. J Obstet Gynaecol 34:650–651
Huysentruyt CJ, Vandevijver NM, Jan van Suylen R et al (2010) Adenocarcinoma of the fetal lung-type metastatic to the ovary. Int J Gynecol Pathol 29:339–40
Yu L, Li X, Yang W (2009) Pulmonary blastoma metastatic to the ovary. Int J Gynecol Pathol 28:59–62
Martín-Hernández R, Villanueva MM, Sánchez MN et al (2015) Ovarian Metastasis of a Thymoma: Report of a Case and Literature Review. Int J Gynecol Pathol 34:374–8
Young RH, Kozakewich HP, Scully RE (1993) Metastatic ovarian tumors in children: a report of 14 cases and review of the literature. Int J Gynecol Pathol 12:8–19
Freeman C, Berg JW, Cutler SJ (1972) Occurrence and prognosis of extranodal lymphomas. Cancer 29:252–60
Halpin TF (1975) Gynecologic implications of Burkitt's tumor. Obstet Gynecol Surv 30:351–358
Vang R, Medeiros LJ, Warnke RA et al (2001) Ovarian non-Hodgkin's lymphoma: a clinicopathologic study of eight primary cases. Mod Pathol 14:1093–1099
Osborne BM, Robboy SJ (1983) Lymphomas or leukemia presenting as ovarian tumors. An analysis of 42 cases. Cancer 52:1933–1943
Monterroso V, Jaffe ES, Merino MJ et al (1993) Malignant lymphomas involving the ovary. A clinicopathologic analysis of 39 cases. Am J Surg Pathol 17:154–170
Chorlton I, Norris HJ, King FM (1974) Malignant reticuloendothelial disease involving the ovary as a primary manifestation: a series of 19 lymphomas and 1 granulocytic sarcoma. Cancer 34:397–407
Fox H, Langley FA, Govan AD et al (1988) Malignant lymphoma presenting as an ovarian tumour: a clinicopathological analysis of 34 cases. Br J Obstet Gynaecol. 5:386–390
Emery JD, Kennedy AW, Tubbs RR et al (1999) Plasmacytoma of the ovary: a case report and literature review. Gynecol Oncol 73:151–154
Mondal SK, Chatterjee S, Mandal S et al (2015) Primary extramedullary plasmacytoma of ovary: Report of a rare neoplasm. J Cancer Res Ther 11:923–4
Zhong YP, Zhang JJ, Huang XN (2012) Multiple myeloma with rupture of ovarian plasmacytoma. Chin Med J (Engl) 125:2948–2950
Hirsch MS (2011) Metastatic Tumors of the Ovary. In: Crum CP, Nucci MR, Lee KR (eds) Diagnostic Gynecologic and Obstetric Pathology, 2nd edn. Elsevier Saunders, Philadelphia, p 972–988
Oliva E, Ferry JA, Young RH et al (1997) Granulocytic sarcoma of the female genital tract: a clinicopathologic study of 11 cases. Am J Surg Pathol 21:1156–1165
Barcos M, Lane W, Gomez GA et al (1987) An autopsy study of 1206 acute and chronic leukemias (1958 to 1982). Cancer 60:827–837
Pais RC, Kim TH, Zwiren GT et al (1991) Ovarian tumors in relapsing acute lymphoblastic leukemia: a review of 23 cases. J Pediatr Surg 26:70–74
Cunningham I (2013) The clinical behavior of 124 leukemic ovarian tumors: clues for improving the poor prognosis. Leuk Lymphoma 54:1430–6
Terek MC, Ozkinay E, Zekioglu O et al (2003) Acute leukemia in pregnancy with ovarian metastasis: a case report and review of the literature. Int J Gynecol Cancer 13:904–8
Terek MC, Ozkinay E, Zekioglu O et al (2003) Acute leukemia in pregnancy with ovarian metastasis: a case report and review of the literature. Int J Gynecol Cancer 13:904–8
Young RH, Jackson A, Wells M (1994) Ovarian metastasis from thyroid carcinoma 12 years after partial thyroidectomy mimicking struma ovarii: report of a case. Int J Gynecol Pathol 13:181–185
Logani S, Baloch ZW, Snyder PJ et al (2001) Cystic ovarian metastasis from papillary thyroid carcinoma: a case report. Thyroid 11:1073–1075
Brogioni S, Viacava P, Tomisti L et al (2007) A special case of bilateral ovarian metastases in a woman with papillary carcinoma of the thyroid. Exp Clin Endocrinol Diabetes 115:397–400
Besic N, Gazic B (2013) Sites of metastases of anaplastic thyroid carcinoma: autopsy findings in 45 cases from a single institution. Thyroid 23:709–713
Longacre TA, O'Hanlan K, Hendrickson MR (1996) Adenoid cystic carcinoma of the submandibular gland with symptomatic ovarian metastases. Int J Gynecol Pathol 15:349–55
Riopel MA, Ronnett BM, Kurman RJ (1999) Evaluation of diagnostic criteria and behavior of ovarian intestinal-type mucinous tumors: atypical proliferative (borderline) tumors and intraepithelial, microinvasive, invasive, and metastatic carcinomas. Am J Surg Pathol 23:617–35
Eichhorn JH, Young RH, Scully RE (1993) Nonpulmonary small cell carcinomas of extragenital origin metastatic to the ovary. Cancer 71:177–186
Açıkalın A, Paydaş S, Güleç ÜK et al (2014) A unique case of merkel cell carcinoma with ovarian metastasis. Balkan Med J 31:356–359
Zukerberg LR, Young RH (1990) Chordoma metastatic to the ovary. Arch Pathol Lab Med 114:208–210
Rubio A, Schuldt M, Chamorro C et al (2015) Ovarian Small Cell Carcinoma of Pulmonary Type Arising in Mature Cystic Teratomas With Metastases to the Contralateral Ovary. Int J Surg Pathol 23:388–92
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Science Press & Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Carrick, K., Zheng, W. (2019). Secondary Tumors of the Ovary. In: Zheng, W., Fadare, O., Quick, C., Shen, D., Guo, D. (eds) Gynecologic and Obstetric Pathology, Volume 2. Springer, Singapore. https://doi.org/10.1007/978-981-13-3019-3_10
Download citation
DOI: https://doi.org/10.1007/978-981-13-3019-3_10
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-3018-6
Online ISBN: 978-981-13-3019-3
eBook Packages: MedicineMedicine (R0)