Abstract
Papillary serous tumor of the ovary spreads locally to the pelvis and abdomen or through lymphatics. Hematological metastasis is rare and this is the route through which it spreads to thorax. However papillary serous tumor involving the lungs and pleura without involving the abdominal cavity is rare. Here we present a case of papillary serous carcinoma of ovary presenting as pleural metastasis without involving any abdominal organs. More over the thoracoscopic findings of this pleural lesion is unique in its appearance and has not been reported in literature previously.
Keywords: Coral reef, Sea anemone, papillary serous tumor, metastasis.
References
- Tanaka YO, Okada S, Satoh T, Matsumoto K, Oki A, Nishida M, et al. Ovarian serous surface papillary borderline tumors form sea anemone-like masses. J MagnReson Imaging 2011; 33: 633–40. [PubMed] [CrossRef] [Google Scholar]
- Thomas JM, Musani MI. Malignant pleural effusions: a review. Clin Chest Med 2013; 34: 459-71.
- Kim SH, Yang DM, Kim SH. Borderline serous surface papillary tumor of the ovary: MRI characteristics. AJR Am J Roentgenol 2005; 184: 1898–900. [PubMed] [CrossRef] [Google Scholar]
- Burkholz KJ, Wood BP, Zuppan C. Best cases from the AFIP: Borderline papillary serous tumor of the right ovary. Radiographics 2005; 25: 1689–92. [PubMed] [CrossRef] [Google Scholar]
- Kwon Y, Park SB, Lee JB, Park HJ. Sonographic findings of an ovarian serous surface papillary borderline tumor. Clin Imaging 2013; 37: 1128–30. [PubMed] [CrossRef] [Google Scholar]
- Naqvi J, Nagaraju E, Ahmad S. MRI appearances of pure epithelial papillary serous borderline ovarian tumours. Clin Radiol 2015; 70: 424–32. [PubMed] [CrossRef] [Google Scholar]
- Mitra AK, Chiang CY, Tiwari P, Tomar S, Watters KM, Peter ME, Lengyel E. Microenvironment‐induced downregulation of miR‐193b drives ovarian cancer metastasis. Oncogene. 2015; 34(48):5923–5932.
- Amadori D, Sansoni E, Amadori A. Ovarian cancer: natural history and metastatic pattern. Frontiers in Bioscience: A Journal and Virtual Library. 1997; 2:g8–10.
- Tsuruchi N, Kamura T, Tsukamoto N, Akazawa K, Saito T, Kaku T, et al. Relationship between paraaortic lymph node involvement and intraperitoneal spread in patients with ovarian cancer‐‐a multivariate analysis. Gynecologic Oncology. 1993; 49(1):51–55.
- Pradeep S, Kim SW, Wu SY, Nishimura M, Chaluvally‐Raghavan P, Miyake T, et al. Hematogenous metastasis of ovarian cancer: rethinking mode of spread. Cancer Cell. 2014; 26(1):77–91
- S A. Wahab, J J Tobler, MR Imaging of Epithelial Ovarian Neoplasms Part I: Benign and Borderline, Magnetic Resonance Imaging Clinics of North America2023;31(1): 43-52.10.1016/j.mric.2022.06.003,
- A Ko, S B Park, J W Seok, M K Kim, SS Han, E S Lee, et al. Two cases of ovarian serous surface papillary borderline tumours with discordant 18F-FDG PET features, J Obstet Gynaecol. 2020;40(8):1181-1183.Epub 2019 Dec 3.
Corresponding Author
Ravindran Chetambath
Senior Consultant, Baby Memorial Hospital, Calicut, Kerala, India
DOI: https://dx.doi.org/10.18535/jmscr/v11i6.05
