Abstract
Purpose
From all ovarian tumors, the metastases to ovaries comprise just 3–10 %. However, rarely surgeons may suspect preoperatively the diagnosis. Thus, the surgeon’s point of view about three cases of this challenging entity is presented.
Cases
The first was a finding by our pathologist in a case with an apparently carcinoma of the ovary; it was a cervical carcinoma with metastasis to ovaries. The second case was another seemingly primary ovarian carcinoma. During her surgery, a synchronous sigmoidal mass and an ovarian tumor were detected, so the notion of a probable colorectal cancer with metastases to the ovary was done, and both lesions were extirpated; the suspicion was proved. In the third case, there were a synchronic breast cancer and an ovarian tumor, so a preoperative suspicion of a metastatic breast carcinoma to the ovary was done. A modified radical mastectomy and a cytoreductive ovarian cancer surgery were performed; the suspicion was verified.
Conclusion
Nowadays, a definitive preoperative diagnosis of the metastasis to ovaries is impossible. Only in a rare clinical scenario, this option could be suspected by surgeons.
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Ortiz-Mendoza, C.M., Catarino-Dircio, A. From Surprise to Suspicion: Ovarian Metastases. Indian J Gynecol Oncolog 14, 42 (2016). https://doi.org/10.1007/s40944-016-0071-3
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DOI: https://doi.org/10.1007/s40944-016-0071-3