Primary Mucinous Adenocarcinoma of the Ovary with Pulmonary
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A 35-year-old Caucasian female presented with worsening pelvic pain, pressure and bloating was found to have a large 22 cm mass arising from the left ovary, determined to be a stage IA primary mucinous adenocarcinoma. After excision with negative margins, she was treated with four cycles of carboplatin and paclitaxel. Initial surveillance revealed no evidence of disease and to date, tumors markers have been normal. Repeat PET/CT were performed seventeen months after initial surgery and noted to have enlargement of a left lower lung nodule. A robotic assisted wedge resection of the left lower lobe lung lesion showed metastatic ovarian mucinous carcinoma with tumor necrosis. Endoscopic ultrasound guided fine needle aspiration (FNA) of a large celiac lymph node revealed clusters of intermediate to large
malignant cells with high N:C ratio, irregular nuclear contour in the background of mucin. The patient finally underwent intensity –modulated radiation therapy. Her follow up MRI shows stable nodal disease at this point. She is remains asymptomatic with no significant physical exam findings....

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