title: Ovarian cancer presenting as chest wall subcutaneous nodule: a case report and a literature review.
abstract: BACKGROUND
  Distant metastasis from primary epithelial ovarian carcinoma is commonly found as nodal and intraperitoneal spread, spread via haematogenous routes or transcoelomic spread. Ovarian cancer presents in different ways, but common presentations include abdominal pain, distention or ascites due to metastatic involvement of peritoneal cavity. Most tumour present at advanced stage and distant metastases to common and uncommon sites are found in patients who have undergone treatment for primary ovarian cancer. Subcutaneous metastatic nodules from primary ovarian cancer are rarely found in advanced disease. We describe a case of asymptomatic ovarian carcinoma presenting as a chest wall nodule.
  
  
  METHODS
  An unusual case of primary ovarian carcinoma presenting as asymptomatic chest wall subcutaneous nodules that subsequently were diagnosed as metastatic lesions.
  
  
  CONCLUSIONS
  An unusual case of ovarian carcinoma where the patient was totally asymptomatic and referred with two tiny subcutaneous nodules. Therefore, lumps of recent onset, although asymptomatic, should either have fine needle aspiration cytology or excision biopsy.
authors.affiliation: Surgical Research Fellow, Derbyshire Royal Infirmary, London Road, Derby, UK. naseem.waraich@nottingham.ac.uk
authors.forename: N
authors.initials: N
authors.lastname: Waraich
authors.forename: J
authors.initials: J
authors.lastname: Mitchell
authors.forename: H
authors.initials: H
authors.lastname: Holliday
authors.forename: S Y
authors.initials: SY
authors.lastname: Iftikhar
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D035441:Thoracic Wall / Q000473:pathology*