TITLE:
A Case Report: Metastasis of Clear Cell Ovarian Cancer in Morrison’s Pouch as Differential Diagnosis to Exophytic Kidney Tumor
AUTHORS:
Stine Lohmann, Anna Krarup Keller
KEYWORDS:
Ovarian Cancer, Clear Cell Adenocarcinoma, Renal Cell Cancer, Immunohistochemistry
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.11,
November
17,
2016
ABSTRACT: A 62-year-old woman with a history of
curatively treated mucinous ovarian cancer, presented with dyspnea, anorexia
and right-upper-quadrant pain at consultation with her general practitioner. A
CT scan revealed several lymph node metastases in lungs and abdomen as well as
a tumor in Morrison’s pouch and biopsy revealed renal cell carcinoma.
Therefore, she was referred to Department of Urology. The multidisciplinary
team could not immediately reject that there could be an exophytic tumor in the
right kidney but discrepancy between histology and imaging, led to several
biopsies including laparoscopic procedure. Re-examination of the primary
ovarian cancer showed that one percent was classified as clear cell carcinoma.
The final diagnose was metastatic clear cell ovarian carcinoma. The patient was
terminal and suffered of cachexia and pleural effusion. The patient deceased
four months after first consultation.