Metastatic gallbladder carcinoma presenting as an ovarian mass

ABSTRACT Metastatic gallbladder carcinoma to the ovaries is occasional but a recognized entity. It can mimic, clinical and morphologically, a primary ovarian tumor, challenging the diagnosis. We present the case of a patient with a lump in the hypogastrium extending into the right iliac fossa and was found to have abdominopelvic cystic lesion with enhancing solid components and multiple sub-centimetric and ill-defined abdominal lymph nodes. Also, subpleural and parenchymal nodules in the lungs were present. She subsequently underwent a laparotomy. Cholecystectomy was also done due to pre-existing symptomatic biliary lithiasis. The histologic report described the ovarian involvement as metastases from a gallbladder carcinoma. The presentation of ovarian metastases can challenge the diagnosis. Hence, careful evaluation of the digestive tract and judicious use of immunohistochemistry should be considered in patients presenting with ovarian masses.

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Main Authors: Rehman,Nidhin, Sadashiva,Harish, Madakshira,Manoj Gopal, Raman,Deep Kumar
Format: Digital revista
Language:English
Published: Hospital Universitário da Universidade de São Paulo 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602021000100202
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spelling oai:scielo:S2236-196020210001002022021-02-22Metastatic gallbladder carcinoma presenting as an ovarian massRehman,NidhinSadashiva,HarishMadakshira,Manoj GopalRaman,Deep Kumar carcinoma gallbladder immunohistochemistry ovary ABSTRACT Metastatic gallbladder carcinoma to the ovaries is occasional but a recognized entity. It can mimic, clinical and morphologically, a primary ovarian tumor, challenging the diagnosis. We present the case of a patient with a lump in the hypogastrium extending into the right iliac fossa and was found to have abdominopelvic cystic lesion with enhancing solid components and multiple sub-centimetric and ill-defined abdominal lymph nodes. Also, subpleural and parenchymal nodules in the lungs were present. She subsequently underwent a laparotomy. Cholecystectomy was also done due to pre-existing symptomatic biliary lithiasis. The histologic report described the ovarian involvement as metastases from a gallbladder carcinoma. The presentation of ovarian metastases can challenge the diagnosis. Hence, careful evaluation of the digestive tract and judicious use of immunohistochemistry should be considered in patients presenting with ovarian masses.info:eu-repo/semantics/openAccessHospital Universitário da Universidade de São PauloAutopsy and Case Reports v.11 20212021-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602021000100202en10.4322/acr.2021.248
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region America del Sur
libraryname SciELO
language English
format Digital
author Rehman,Nidhin
Sadashiva,Harish
Madakshira,Manoj Gopal
Raman,Deep Kumar
spellingShingle Rehman,Nidhin
Sadashiva,Harish
Madakshira,Manoj Gopal
Raman,Deep Kumar
Metastatic gallbladder carcinoma presenting as an ovarian mass
author_facet Rehman,Nidhin
Sadashiva,Harish
Madakshira,Manoj Gopal
Raman,Deep Kumar
author_sort Rehman,Nidhin
title Metastatic gallbladder carcinoma presenting as an ovarian mass
title_short Metastatic gallbladder carcinoma presenting as an ovarian mass
title_full Metastatic gallbladder carcinoma presenting as an ovarian mass
title_fullStr Metastatic gallbladder carcinoma presenting as an ovarian mass
title_full_unstemmed Metastatic gallbladder carcinoma presenting as an ovarian mass
title_sort metastatic gallbladder carcinoma presenting as an ovarian mass
description ABSTRACT Metastatic gallbladder carcinoma to the ovaries is occasional but a recognized entity. It can mimic, clinical and morphologically, a primary ovarian tumor, challenging the diagnosis. We present the case of a patient with a lump in the hypogastrium extending into the right iliac fossa and was found to have abdominopelvic cystic lesion with enhancing solid components and multiple sub-centimetric and ill-defined abdominal lymph nodes. Also, subpleural and parenchymal nodules in the lungs were present. She subsequently underwent a laparotomy. Cholecystectomy was also done due to pre-existing symptomatic biliary lithiasis. The histologic report described the ovarian involvement as metastases from a gallbladder carcinoma. The presentation of ovarian metastases can challenge the diagnosis. Hence, careful evaluation of the digestive tract and judicious use of immunohistochemistry should be considered in patients presenting with ovarian masses.
publisher Hospital Universitário da Universidade de São Paulo
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602021000100202
work_keys_str_mv AT rehmannidhin metastaticgallbladdercarcinomapresentingasanovarianmass
AT sadashivaharish metastaticgallbladdercarcinomapresentingasanovarianmass
AT madakshiramanojgopal metastaticgallbladdercarcinomapresentingasanovarianmass
AT ramandeepkumar metastaticgallbladdercarcinomapresentingasanovarianmass
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