title: An ovarian mass after breast cancer: Metachronous carcinoma or metastasis? A case report.
abstract: BACKGROUND
  Differentiating between primary and secondary ovarian cancer can be a difficult task. In hereditary conditions breast malignancies and primary ovarian cancer often coexist.
  
  
  METHODS
  We present a 45-year-old patient with an ovarian mass two years after the diagnosis of a lobular, triple negative breast carcinoma. There was concern whether the lesion represented a metachronous ovarian cancer or a metastasis of the lobular carcinoma. The final histological examination showed a metastatic lesion, deriving from the lobular breast carcinoma, as evidenced by the immunohistochemical profile; nevertheless, there were changes in hormonal receptor expression in the metastatic lesion compared to the primary, triple negative tumor. The patient underwent genetic testing for BRCA1 and BRCA2 mutations and was negative. In the adjuvant setting the patient received 6 cycles of chemotherapy with carboplatin and paclitaxel; eighteen months later, the patient remains without disease recurrence.
  
  
  CONCLUSIONS
  This case report highlights the role of imaging, histology and predominantly immunohistochemistry as valuable tools in the assessment of ambiguous ovarian lesions after breast cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Athens Euroclinic Hospital, Athens Greece; Gynecological Oncology Unit, Third Department of Obstetrics and Gynecology, General University Hospital "Attikon", University of Athens, Athens, Greece. Electronic address: makrismg@hotmail.com.
authors.forename: Georgios-Marios
authors.initials: GM
authors.lastname: Makris
authors.affiliation: Department of Obstetrics and Gynecology, Athens Euroclinic Hospital, Athens Greece.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Marinelis
authors.affiliation: Department of Gynecology and Obstetrics, University Hospital Mainz, Mainz, Germany.
authors.forename: Marco-Johannes
authors.initials: MJ
authors.lastname: Battista
authors.affiliation: Gynecological Oncology Unit, Third Department of Obstetrics and Gynecology, General University Hospital "Attikon", University of Athens, Athens, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Chrelias
authors.affiliation: Gynecological Oncology Unit, Third Department of Obstetrics and Gynecology, General University Hospital "Attikon", University of Athens, Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Papantoniou
keywords: Breast cancer; Differential diagnosis; Metastasis; Ovarian mass; Triple negative