EXTRAOVARIAN STAGE-IV PERITONEAL SEROUS PAPILLARY CARCINOMA PRESENTING AS AN ASYMPTOMATIC SKIN LESION - A CASE-REPORT AND LITERATURE-REVIEW

An 81-year-old G2 P2 white female in good health with the exception of well-controlled hypertension presented to her family physician with a newly discovered lesion in the skin of the abdominal left lower quadr ant. Initially, this nodule was viewed as innocuous and was followed w ith the expectation that it would soon resolve. Three months later, th e lesion was biopsied, revealing a pattern consistent with papillary s erous carcinoma from a presumed ovarian primary. CT scan revealed a pe lvic mass. Subsequent laparotomy revealed a benign tubal cystadenofibr oma, but otherwise normal pelvic viscera. Additional findings, however , included multiple small parietal peritoneal nodules histopathologica lly diagnosed as extraovarian peritoneal serous papillary carcinoma si milar to the skin lesion. All gross disease was extirpated. The patien t received chemotherapy as for advanced ovarian cancer. (C) 1995 Acade mic Press, Inc.