Primary Epithelial Ovarian Carcinoma with Gastric Metastasis Mimic Gastrointestinal Stromal Tumor

• Published in: Cancer research and treatment Vol. 40; no. 2; pp. 93 - 96
• Main Authors: Kang, Woo Dae, Kim, Cheol Hong, Cho, Moon Kyoung, Kim, Jong Woon, Lee, Ji Shin, Ryu, Seong Yeob, Kim, Yoon Ha, Choi, Ho Sun, Kim, Seok Mo
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Cancer Association 01.06.2008; 대한암학회
• Subjects: Case Report; 의약학; Ovarian carcinoma; Gastrointestinal stromal tumors; Gastric metastasis
• ISSN: 1598-2998; 2005-9256
• DOI: 10.4143/crt.2008.40.2.93

Epithelial ovarian carcinoma rarely metastasizes to the parenchyma of the stomach. A 55-years-old woman presented with epigastric pain and a feeling of fullness for one month. A subsequent contrast-enhanced CT scan demonstrated a 4.5x4 cm submucosal mass with focal ulceration in the gastric antrum, and this finding was suggestive of GIST. After gastric antrectomy, the final pathology showed metastatic gastric tumor from a primary ovarian serous carcinoma. Because epithelial ovarian carcinoma is usually spread along the peritoneal surface, stomach involvement is rare. Furthermore, transmural gastric metastasis is very rare in a patient with primary ovarian carcinoma. Until now, there has been no reported case of stomach involvement at presentation in a patient with primary ovarian carcinoma. We present here a case of ovarian carcinoma with gastric metastasis that mimicked GIST.