Bilateral ovarian serous cystadenocarcinoma metastasizing to
Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors report a case of bilateral ovarian serous cystadenocarcinoma metastasising to posterior lip of cervix resulted in poor prognosis and proved fatal for the patient.

A fifty-two-year, postmenopausal lady presented with abdominal distension and shortness of breath for one month, associated with loss of appetite and weight. She attained menopause three years back. Her previous menstrual cycles were regular with normal flow. Abdomen was distended, with tense ascites. Omental thickening around umbilicus was felt. Per speculum examination revealed healthy and high up cervix. In bimanual pelvic examination uterus size could not be assessed due to ascites and all fornices were full.

Ultrasonography revealed thickened omentum with gross ascites. Left ovary was enlarged with papillary growth of size 6х5х4 cm3 . Contrast-enhanced computed tomography (CECT) revealed bilateral pleural effusion (left>right), gross ascites with peritoneal thickening and omental thickening. Left adnexal mass (solid and cystic) of size 6х5х4 cm3.

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