Abstract
The ovary is a common site for metastases, which may be clinically silent, of microscopic size, or present as large bilateral masses. Direct spread of malignancy is common when the primary tumor is located in adjacent organs. Remote primaries reach the ovary more often through the blood vessels than through the lymphatics. As is the case with primary ovarian neoplasms, metastatic tumors in the ovary often tend to be cystic and sometimes papillary, which adds to the difficulty in distinguishing primary from metastatic tumors. Another feature which may occur in ovarian metastatic disease is luteinization of the surrounding stroma resulting in hormone production.
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