A rare case of metastatic ovarian carcinoma originating from primary intrahepatic cholangiocarcinoma. Case report.
BACKGROUND
A rare case of metastatic ovarian carcinoma arising from intrahepatic cholangiocarcinoma is reported and the literature reviewed.


METHODS
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.


CONCLUSIONS
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.
Low
J J H
JJ
Gynaecological Oncology Unit, KK Women's and Children's Hospital, Singapore.
Chew
S H
SH
Chew
S P
SP
Han
C C C
CC
Tay
E H
EH
Ho
T H
TH
D015746:Abdominal Pain / Q000503:physiopathology; D001650:Bile Duct Neoplasms / Q000473:pathology* / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000473:pathology*; D001707:Biopsy, Needle; D018281:Cholangiocarcinoma / Q000556:secondary* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000556:secondary* / Q000601:surgery; D010052:Ovariectomy / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D016896:Treatment Outcome