Inflammatory Breast Cancer from Metastatic Ovarian Cancer
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Introduction
Ovarian cancer is the fifth most frequent diagnosis of female malignancy. Over three-quarters of patients presented in advanced stages, III or IV. Ovarian epithelial cancers spread primarily by exfoliation of cells through the peritoneal cavity, and a minority of cases spread by lymphatic dissemination or hematogenous spread. Metastases to the breast from extramammary malignancies are rare, representing 0.2–1.3% of all malignant tumors diagnosed in the breast [1]. This report demonstrates a rare case of breast metastases from advanced ovarian cancer presenting as an inflammatory breast cancer.

Case Report
A 50-year-old woman, nulliparous, with a medical illness of hypertension, presented with discomfort in her abdomen. She had undergone left salpingooophorectomy 15 years previously because of a benign ovarian cyst.

A 15-cm tense cystic mass was palpated above the pubic symphysis. Computerized tomography (CT) revealed a cystic ovarian mass with solid nodules and septations measuring 14.7 × 13.6 × 8.8?cm, suggestive of ovarian cancer. Serum cancer markers CA125, CA19-9, and CEA were 930?U/mL, 539?U/mL, and 11.9?ng/mL, respectively.

She underwent an exploratory laparotomy surgical staging. The ovarian cyst accidentally ruptured while being removed. There was no gross residual tumor. The final pathologic reports were clear cell carcinoma of ovary without notable metastases to other organs.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4800108/
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