Three years following nephrectomy for renal cell carcinoma, a 54-year-
old woman presented with symptoms secondary to ascites, and a large le
ft adnexal mass. A large predominantly cystic, partially solid, septat
ed mass with thick irregular margins was found on ultrasound and compu
ted tomography scans. Pathological examination revealed renal cell car
cinoma identical to the original tumor. The etiology and appearance of
metastatic disease 50 the ovary are discussed.