Solitary Pancreatic Metastasis from an Ovarian Carcinoma: A Diagnostic Perplexity

Abstract

Ovarian cancer presenting as an isolated pancreatic metastasis after years of treatment is extremely rare. Most such patients are easily misdiagnosed as a case of primary pancreatic cancer. We herein describe a unique case of posttreatment high-grade serous papillary ovarian carcinoma metastasizing to the pancreas that mimicked primary pancreatic cancer and caused a diagnostic dilemma. The approach to such a case, pathogenesis, differential diagnosis, management, and a brief literature review is also presented.

Keywords

• high-grade serous papillary ovarian carcinoma
• immunohistochemistry
• ovarian metastasis
• pancreatic adenocarcinoma