Metastatic gallbladder carcinoma presenting as an ovarian mass

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 t...

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Bibliographic Details
Published inAutopsy & case reports Vol. 11; p. e2021248
Main Authors Rehman, Nidhin, Sadashiva, Harish, Madakshira, Manoj Gopal, Raman, Deep Kumar
Format Journal Article
LanguageEnglish
Portuguese
Published Hospital Universitário da Universidade de São Paulo 2021
University of São Paulo
Subjects
ANATOMY & MORPHOLOGY
carcinoma
Clinical Case Report
gallbladder
immunohistochemistry
ovary
PATHOLOGY
ovary
gallbladder
immunohistochemistry
carcinoma
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Summary: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.
Bibliography:Authors’ contributions: Harish Sadashiva was the surgeon who operated and managed the case. Nidhin Rehman, Manoj Gopal Madakshira, and Deep Kumar Raman were involved in analysis of the surgical specimen and providing the final pathology report. Nidhin Rehman and Manoj Gopal Madakshira wrote the manuscript. Harish Sadashiva and Deep Kumar Raman revised the manuscript.
Conflict of interest: The authors declare that they have no conflict of interest.
ISSN:2236-1960
2236-1960
DOI:10.4322/acr.2021.248