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Bilateral ovarian carcinoma with colorectal metastases - An unusual presentation

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Case Report

Author Details : Kafil Akhtar*, Mohd Talha, Ankita Parashar, Sumbul Warsi

Volume : 5, Issue : 3, Year : 2020

Article Page : 241-243

https://doi.org/10.18231/j.achr.2020.052

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Abstract

Primary ovarian carcinoma may metastasize to the peritoneum leading to malignant ascites. Four percent cases of primary ovarian carcinoma can involve the colorectum. We present a case report of a 50-year-old women who had complaints of bilateral adnexal mass and disturbed menstruation with altered bowel habits. Computed tomography scan of the abdomen and pelvis showed a bilaterally enlarged ovaries and a lobular rectal mass. Proctoscopy substantiated the rectal mass as an ulcerated lesion. Histopathology confirmed the diagnosis as bilateral serous papillary cystadenocarcinoma. Left hemicolectomy specimen illustrated
foci of atypical glands. Immunohistochemical staining of both the tumor masses showed strong cytokeratin 7 positivity with negative cytokeratin 20 expression. Bilateral involvement of the ovaries with colorectal metastasis is very uncommon, which is highlighted in this paper.

Keywords: Bilateral, Cancer, Colorectum, Immunohistochemistry, Ovary, Metastasis.

How to cite : Akhtar K , Talha M, Parashar A , Warsi S, Bilateral ovarian carcinoma with colorectal metastases - An unusual presentation. IP Arch Cytol Histopathol Res 2020;5(3):241-243

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