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A rare case of metastatic ovarian carcinoma originating from primary intrahepatic cholangiocarcinoma. Case report

  • J. J. H. Low1,*,
  • S. H. Chew2
  • S. P. Chew3
  • C. C. C. Han1
  • E. H. Tay1
  • T. H. Ho1

1Gynaecological Oncology Unit, Singapore

2Department of Pathology, KK Women's and Children's Hospital, Singapore

3Department of General Surgery, Tan Tock Seng Hospital, Singapore

DOI: 10.12892/ejgo20030185 Vol.24,Issue 1,January 2003 pp.85-88

Published: 10 January 2003

*Corresponding Author(s): J. J. H. Low E-mail:

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Abstract

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.

Keywords

Metastatic ovarian carcinoma; Intrahepatic cholangiocarcinoma

Cite and Share

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.

URL:

https://www.ejgo.net/articles/10.12892/ejgo20030185

References

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[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.

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