We present the case of a 21-year-old woman in whom development of a bu
lky abdominal wall metastasis in a laparotomy scar led to discovery of
bilateral endocervical-like mucinous borderline tumors in normal-size
d ovaries. Tumor implants were also present in the mesosalpinx and a p
elvic lymph node. We hypothesize that the abdominal wall metastasis re
sulted from seeding at the time of a prior exploratory laparotomy for
trauma, before the ovarian tumors were discovered. We present evidence
to support our theory of mechanical implantation of borderline tumor
and explore other mechanisms leading to extraovarian mucinous neoplast
ic involvement.