Title
Author
DOI
Article Type
Special Issue
Volume
Issue
A rare case of metastatic ovarian carcinoma originating from primary intrahepatic cholangiocarcinoma. Case report
1Gynaecological Oncology Unit, Singapore
2Department of Pathology, KK Women's and Children's Hospital, Singapore
3Department of General Surgery, Tan Tock Seng Hospital, Singapore
*Corresponding Author(s): J. J. H. Low E-mail:
Background: A rare case of metastatic ovarian carcinoma arising from intrahepatic cholangiocarcinoma is reported and the literature reviewed.
Case: A 49-year-old woman presented with ascites and a left pelvic mass. Optimal debulking surgery was carried out including a segmental resection of segment 5/6 of the liver. Histopathology confirmed an intrahepatic cholangiocarcinoma metastatic to the ovaries and omentum.
Conclusion: Distinguishing a metastatic tumor from a primary ovarian tumoris critical for appropriate management. A high index of suspicion intraoperatively and subsequent expert pathological review are essential in making the correct diagnosis.
Metastatic ovarian carcinoma; Intrahepatic cholangiocarcinoma
J. J. H. Low,S. H. Chew,S. P. Chew,C. C. C. Han,E. H. Tay,T. H. Ho. A rare case of metastatic ovarian carcinoma originating from primary intrahepatic cholangiocarcinoma. Case report. European Journal of Gynaecological Oncology. 2003. 24(1);85-88.
[1] Berek J. S., Hacker N. F.: "Non-epithelial Ovarian and Fallopian tube Cancers". In: Berek J. S., Hacker N. F., editors: "Practical Gynecologic Oncology", 3"' ed., Philadelphia, Lippincott Williams and Wilkins, 2000, 523.
[2] Holtz F., Hart W. R.: "Krukenberg tumors of the ovary. A clinicopathologic analysis of 27 cases". Cancer, 1982, 50, 2438.
[3] Young R. H., Scully R. E.: "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. Path., 1990, 9, 60.
[4] Sharma P., Jaffe P. E., Bhattacharyya A.: "Metastatic cholangiocarcinoma presenting as ovarian cancer: a rare K rukenberg tumor". Am. J. Gastr., 1997, 92, 531.
[5] Young R. H., Scully R. E.: "Metastatic tumors of the ovary". In: Kurman R. J., editor: "Blaustein's Pathology of the F emale Genital Tract". 3''ed., New York, Springer-Verlag, 1987, 742.
[6] Santesson L., Kottmeier H. L.: "General classification of ovarian tumors". In: Gentil F., JunqueiraA. C. editors: "UICC Monograph series", Vol. 11, Ovarian Cancer, Berlin, Heidelberg, New York, Springer-Verlag, 1968, 1.
[7] Ulbright T. M., Roth L. M., Stehman F. B.: "Secondary ovarian neoplasia. A clinicopathologic study of 35 cases". Cancer, 1984, 53, 1164.
[8] Kuvshinoff B. W., Fong Y., Blumgart L. H.: "Proximal bile duct tumors". Surg. One. Clin. N. Am., 1996, 5, 317.
Top