RECURRENCE OF OVARIAN-CANCER AS A DELAYED SOLITARY PARENCHYMAL SPLENIC METASTASIS

Isolated recurrent splenic metastasis of epithelial ovarian cancer is extremely rare in the absence of apparent disease at other sites. Ther e are only five case reports of isolated spleen parenchymal metastasis of epithelial ovarian cancer. Among gynecologic malignancies, the mos t common indication for splenectomy is ovarian cancer. Secondary debul king may improve survival in a few subsets of patients including isola ted splenic metastasis, We present the case of a patient who developed an isolated recurrent solitary tumor in the spleen 5 1/2 years after undergoing initial therapy for a stage IIIC papillary serous adenocarc inoma of the ovary. Outcome and treatment of this condition are discus sed.