Metastatic spread of mucinous cystadenocarcinoma of the ovaries into abdominal wall

Epithelial ovarian cancer belongs to the most common and most deadly of all types of ovarian carcinomas. Ovarian cancer affects women in the age group 65 years and older more frequently than younger women. Approximately 75% of cases will have spread beyond the ovaries at the time of diagnosis. Twenty-two year old patient was treated at the Institute of Oncology Sremska Kamenica, in the period from 1998 until 2000. In 1993, she underwent left salphingo-oopherectomy; histopathological finding was mucinous cystadenoma of the ovaries. In 1994, mucinous papillary cystadenoma with borderline malignancy confirmed by histopathological findings was found after abdominal hysterectomy with right salpingo-oopherectomy and total omentectomy. The patient was well until 1998 when she palpated a tumor mass in the front abdominal wall with pain in that region. Tumor was extirpated and final histopathological finding was mucinous adenocarcinoma in fibrous tissue. The patient received with chemotherapy (carboplatin and cyclophosphamide) and external-beam radiotherapy. Recurrence free survival rate was 20 months but in April 2000, patient came back with recurrence of the disease. It was the same spread into abdominal wall. Rectus abdominis muscle was resected and plastic surgery of abdominal wall was performed. After operation patient received second line chemotherapy according to the same protocol. However, during the treatment the disease spread into abdominal cavity and affected small intestine and liver.