Metastatic lesion of the stomach in advanced ovarian cancer (case report)

Abstract

Stomach metastases from different types of malignant tumors are extremely rare. Common sources of secondary gastric involvement are breast and lung cancer, neoplasms of unknown primary site, malignant melanoma (2). Ovarian carcinomas average 0,013-1,6% of all gastric metastases (1). Ulceration is one of the important features of metastatic stomach lesions (3). We herein present the case of ovarian carcinoma metastasis to the stomach 13 years after panhysterectomy. Secondary gastric involvement was diagnosed during esophagogastroduodenoscopy and biopsy of posterior gastric wall infiltrated mucosa. The result was additionally confirmed immunohistochemically while analyzing biopsy specimens of visceral peritoneum. In conclusion, although gastric metastases from ovarian carcinoma is exceptionally rare, clinicians should nevertheless be aware that in patient with gastric tumor and a history of ovarian cancer, gastric lesions may be metastases from the ovarian cancer.