Ovarian Carcinoma with Gastric and Duodenal Metastases - 50 Years-Old Woman

This is the case of a 50 year-old woman, presented with weight loss, nausea and vomiting, the endoscopy found a unusual image with multiple tiny yellowish nodules in the gastric fundus and duodenum, the wall of the duodenum were thickened, at the beginning one thought that it was a lymphoma, the biopsies shown a metastatic carcinoma, Immunohistochemical studies rule out a malignant melanoma and breast carcinoma, the mammography were negative as well as the physical examination to find any mass in both breast. Multiple lymph-node were palpable at the neck as well as supraclavicular lymphadenopathy. At the computer tomography cat scan showed mediastinal and para-aortic lymph-node enlarged, a large mass in the left ovary was detected, which were histologically identical and consistent with an ovarian primary neoplasia. Gastric metastasis of ovarian cancer is extremely rare.