Bilateral ovarian metastases: An uncommon manifestation of pancreatic cancer
Pei Yee ONN 1, Norwani BASIR 1, Pemasari Upali TELISINGHE 2, Faisal SHARIF 3, Vui Heng CHONG 1
1 Department of Medicine, 2 Department of Pathology and 3 Department of Radiology, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam
ABSTRACT
Ovarian cancer is the second most common cancer in women and up to a fifth of all ovarian tumours are metastatic in origin. Among these metastatic tumors, the most common primaries are the gastrointestinal tract and breast. We report the case of a 66-year-old lady who presented with recent onset vague lower abdominal pain and distension who on evaluation was diagnosed to have bilateral ovarian metastases from a pancreatic primary. This case highlights the importance of considering metastasis and to include a pancreatic primary in the differential diagnosis of patients with bilateral ovarian tumours.
Keywords: Pancreatic adenocarcinoma, ovarian tumours, Krukenberg tumours
Correspondence author: Vui Heng CHONG, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan BA 1710, Brunei Darussalam. Tel: +673 2242424 Ext 5233, Fax: +673 2242690
E mail: chongvuih@yahoo.co.uk
Brunei Int Med J. 2013; 9 (1): 40-43