title: Recurrent small cell lung cancer presenting as bilateral adnexal masses.
abstract: BACKGROUND
  Small cell lung cancer (SCLC) carries a very poor prognosis, although recent advances in chemotherapy have produced some long-term survivors. Despite this, recurrences are common, and these patients require a high level of surveillance. Given that the female gender is a favorable prognostic factor in patients with SCLC and that more women are becoming lung cancer survivors, it is important to consider sites of metastasis that are restricted to women.
  
  
  METHODS
  This is a presentation of a 42-year old previously diagnosed with SCLC who presented with an isolated recurrence of SCLC in the ovaries. This is a case report of an isolated recurrence of SCLC in the ovaries with a review of the literature.
  
  
  CONCLUSIONS
  Although systemic relapses and recurrences often occur in these patients, isolated metastasis such as this can occur and should be considered in female patients with a history of small cell lung cancer.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Albert Einstein College of Medicine, 1695 Eastchester Road, Bronx, NY 10461, USA.
authors.forename: Paniti
authors.initials: P
authors.lastname: Sukumvanich
authors.forename: Mark
authors.initials: M
authors.lastname: Einstein
authors.forename: Brian
authors.initials: B
authors.lastname: Wagner
authors.forename: Rasim
authors.initials: R
authors.lastname: Gucalp
authors.forename: Gary L
authors.initials: GL
authors.lastname: Goldberg
mesh_terms: D000328:Adult; D018288:Carcinoma, Small Cell / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D010051:Ovarian Neoplasms / Q000556:secondary*