Skin And Umbilical Metastasis In Carcinoma Ovary - A Rare Presentation

摘要

We report the case of ovarian carcinoma with skin and umbilical metastasis in a thirty year old female. The CT scan abdomen showed right ovarian mass with anterior abdominal wall metastasis . The CT guided FNAC from the ovarian mass showed adenocarcinoma. FNAC from umbilical and skin metastasis also showed adenocarcinoma.Because of the unresectability of the mass, the patient was put on taxol based chemotherapy which she took for two cycles and then expired. Introduction Ovarian cancer, a disease of “older women” occurs primarily in postmenopausal women, with a peak incidence from 50 through 70 years of age. The disease is relatively uncommon before 40 years of age. Metastasis occurs primarily through lymphatic and hematogenous pathways. A metastatic malignancy of the umbilicus commonly termed “Sister Mary Joseph nodule” is a rare occurrence. Metastasis to skin is still rarer, the reported incidence being 3%.[1] We report a cytologically proven case of adenocarcinoma ovary in a young female with skin and umbilical metastasis . Case Report A thirty year old female presented to our OPD in October 2007 with the history of vague gastrointestinal complaints of dyspepsia, nausea and constipation for the past three months and a progressively increasing abdominal swelling for the past one month. She had developed a nodule in the epigastric area ten days back and another nodule in periumbilical area a week back.On examination, the abdomen was distended and tense. Fluid thrill could be elicited. Bilateral inguinal lymphadenopathy was present. There was presence of umbilical hernia along with a nodule present over it discharging a serosanguinous fluid.An ulcerated nodule was presented in the epigastric area which was also discharging a serosanguinous fluid.(fig1)