title: Ovarian carcinoma with simultaneous breast and rectum metastases.
abstract: BACKGROUND
  Metastatic involvement of the breast and the rectum from ovarian carcinoma are very rare events.
  
  
  METHODS
  We report a case of ovarian carcinoma with metastasis to the breast and rectum simultaneously, 6 years after initial diagnosis.
  
  
  RESULTS
  Morphologic and immunohistochemical findings from pathologic samples of all involved sites confirmed the ovarian origin, which spared the patient unnecessary breast and rectal surgery. To our knowledge, this is the first case of ovarian carcinoma with simultaneous metastases to the breast and rectum reported to date.
  
  
  CONCLUSIONS
  Accurate differential diagnosis from primary breast and rectal carcinoma is very important because the prognosis and treatment differ significantly.
authors.affiliation: Institute of Oncology, Istanbul Faculty of Medicine, Istanbul University, Turkey. dygderin@yahoo.com
authors.forename: Duygu
authors.initials: D
authors.lastname: Derin
authors.forename: Yeşim
authors.initials: Y
authors.lastname: Eralp
authors.forename: Nese
authors.initials: N
authors.lastname: Guney
authors.forename: Yasemin
authors.initials: Y
authors.lastname: Ozlük
authors.forename: Erkan
authors.initials: E
authors.lastname: Topuz
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology* / Q000556:secondary*; D018283:Cystadenocarcinoma, Papillary / Q000473:pathology* / Q000556:secondary*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D012004:Rectal Neoplasms / Q000473:pathology* / Q000556:secondary*