Skip to main content
SpringerLink
Log in

Urachal adenocarcinoma metastatic to the ovary simulating primary mucinous cystadenocarcinoma of the ovary: report of a case

  • Case Report
  • Published:
Virchows Archiv Aims and scope Submit manuscript

Abstract

A 56-year-old woman had a large multicystic ovarian tumour 4 years after undergoing partial cystectomy for a deeply invasive urachal adenocarcinoma. On microscopic examination the ovarian tumour was a moderately differentiated mucinous cystadenocarcinoma similar to the urachal tumour. Several peritoneal biopsies and the omentum were positive for metastatic adenocarcinoma. Although initially interpreted as representing primary mucinous adenocarcinoma of the ovary with peritoneal spread, subsequent comparison with the previous urachal adenocarcinoma led to re-interpretation of the ovarian tumour as metastatic urachal carcinoma. Metastatic mucinous adenocarcinomas involving the ovary may be misinterpreted as primary ovarian carcinomas and the urinary bladder is a potential source of these neoplasms.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Anderström C, Johansson SL, von Schultz L (1983) Primary adenocarcinoma of the urinary bladder. A clinicopathologic and prognostic study. Cancer 52:1273–1280

    Google Scholar 

  2. Bowlby LS, Smith ML (1986) Signet-ring cell carcinoma of the urinary bladder. Primary presentation as a Krukenberg tumor. Gynecol Oncol 25:376–381

    Google Scholar 

  3. Corwin S, Tassy F, Melament M, Grady H (1971) Rare signet-ring variant of mucinous adenocarcinoma of the bladder. J Urol 106:697–700

    Google Scholar 

  4. Grignon DJ, Ro JY, Ayala AG, Johnson DE, Ordónez NG (1991) Primary adenocarcinoma of the urinary bladder. A clinicopathologic analysis of 72 cases. Cancer 67:2165–2172

    Google Scholar 

  5. Hasegawa S, Ohshima S, Kinukawa T, Matsuura O, Takeuchi Y, Hattori R (1981) Adenocarcinoma of the bladder 29 years after ileocystoplasty. Br J Urol 61:162–167

    Google Scholar 

  6. Hsiu J-G, Kemp GM, Singer GA, Rawls WH, Siddiky MA (1991) Transitional cell carcinoma of the renal pelvis with ovarian metastasis. Gynecol Oncol 41:178–181

    Google Scholar 

  7. Lash RH, Hart WR (1987) Intestinal adenocarcinomas metastatic to the ovaries. A clinicopathological evaluation of 22 cases. Am J Surg Pathol 11:114–121

    CAS  PubMed  Google Scholar 

  8. Mostofi FK, Thomson RV, Dean AL Jr (1955) Mucous adenocarcinoma of the urinary bladder. Cancer 8:741–743

    Google Scholar 

  9. Oliva E, Musulen E, Prat J, Young RH (1995) Transitional cell carcinoma of the renal pelvis with symptomatic ovarian metastases. Int J Surg Pathol 2:231–236

    Google Scholar 

  10. Rosas-Uribe A, Luna M (1969) Primary signet-ring cell carcinoma of the urinary bladder. Arch Pathol 88:294–297

    Google Scholar 

  11. Saphir O (1951) Signet-ring cell carcinoma. Milit Surg 109:60–369

    Google Scholar 

  12. Spencer JA, Eriksen B, Garnett JE (1993) Metastatic renal tumor presenting as ovarian clear cell carcinoma. Urology 41:582–584

    Google Scholar 

  13. Whitehead ED, Tessler AN (1971) Carcinoma of the urachus. Br J Urol 43:468–476

    Google Scholar 

  14. Young RH, Gilks CB, Scully RE (1991) Mucinous tumors of the appendix associated with mucinous tumors of the ovary and pseudomyxoma peritonei: a clinicopathological analysis of 22 cases supporting an origin in the appendix. Am J Surg Pathol 15:415–429

    Google Scholar 

  15. 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

    CAS  PubMed  Google Scholar 

  16. Young RH, Hart WR (1992) Renal cell carcinoma metastatic to the ovary: a report of three cases emphasizing possible confusion with ovarian clear cell adenocarcinoma. Int J Gynecol Pathol 11:96–104

    Google Scholar 

  17. Young RH, Scully RE (1983) Mucinous ovarian tumors associated with mucinous adenocarcinomas of the cervix. Int J Gynecol Pathol 1:391–402

    Google Scholar 

  18. Young RH, Scully RE (1987) Metastatic tumors of the ovary. In: Kurman RJ (ed) Blaustein's pathology of the female genital tract. Springer, New York, pp 742–768

    Google Scholar 

  19. Young RH, Scully RE (1988) 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

    Google Scholar 

  20. Young RH, Scully RE (1990) Ovarian metastases 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

    CAS  PubMed  Google Scholar 

  21. Young RH, Scully RE (1991) Metastatic tumors in the ovary: a problem-oriented approach and review of the recent literature. Semin Diagn Pathol 8:250–276

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The James Homer Wright Pathology Laboratories, Massachusetts General Hospital, USA

    R. H. Young

  2. the Department of Pathology, Harvard Medical School, 02114, Boston, Massachusetts, USA

    R. H. Young

Authors
  1. R. H. Young
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Young, R.H. Urachal adenocarcinoma metastatic to the ovary simulating primary mucinous cystadenocarcinoma of the ovary: report of a case. Vichows Archiv A Pathol Anat 426, 529–532 (1995). https://doi.org/10.1007/BF00193178

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00193178

Key words

Search

Navigation