title: Adnexal mass: an unusual presentation of small-bowel adenocarcinoma.
abstract: Malignancy of the small bowel presents unique diagnostic and therapeutic challenges resulting in a delayed diagnosis in many cases. Small-bowel tumors respond poorly to most forms of treatment. Metastatic lesions to the ovaries comprise a small percentage of all ovarian malignant neoplasms. Ovarian metastases from primary small-bowel tumors are often difficult to differentiate from primary ovarian tumors. Only few reports have described ovarian metastases from small-bowel sources. A high index of suspicion can lead to an earlier diagnosis and can have an impact on the therapeutic options as well as the survival of the patients. The current report also underscores the importance of careful review of symptoms, investigative studies and pathology.
authors.affiliation: Department of Surgery, College of Physicians and Surgeons, Columbia University, Harlem Hospital Center, 506 Lenox Ave., New York, NY 10037, USA.
authors.forename: Syed
authors.initials: S
authors.lastname: Husain
authors.forename: Daniel
authors.initials: D
authors.lastname: Thompson
authors.forename: Louys
authors.initials: L
authors.lastname: Thomas
authors.forename: Brian
authors.initials: B
authors.lastname: Donaldson
authors.forename: Raja
authors.initials: R
authors.lastname: Sabbagh
mesh_terms: D015746:Abdominal Pain; D000230:Adenocarcinoma / Q000175:diagnosis* / Q000473:pathology; D000291:Adnexal Diseases / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology*; D008875:Middle Aged