Bilateral metastatic carcinoma of the breast from primary ovarian cancer

We report a case of ovarian cancer with metastasis to both breasts and axil lary lymph nodes and the vaginal cuff. A 41-year-old previously hysterectom ized women presented with pelvic mass and malignant pleural effusion. Durin g the courses of chemotherapy; bilateral breast nodules, and bilateral axil lary lymphadenopathies and a nodule in the vaginal cuff were identified. Th e biopsy of both breasts, axillary lymph nodes and the nodule in the vagina l cuff revealed papillary serous cystadenocarcinoma. Immunohistochemical st aining of breast specimens were positive for ovarian tumor marker CA-125.