paywalled: Ovarian metastasis from adenocarcinoma of the lung

Abstract

A case of a young woman, affected by an unresectable pulmonary adenocarcinoma, diagnosed by broncoscopy with biopsies and treated with platinum-pemetrexed based chemotherapy, with an incidental finding of a left ovarian mass. At ultrasound examination, a solid lesion was detected in the left ovary. Final pathology revealed an ovarian metastasis from low differentiate adenocarcinoma of the lung. This experience gives us an example of an ovarian metastasis from lung cancer, which at ultrasound examination appears as solid ovarian mass, with lobulated margins, moderate vascularisation, adjacent to normal ovarian parenchyma. This could mislead the examiner to an erroneous diagnosis of benign ovarian tumor.