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Case Reports in Gastrointestinal Medicine
Volume 2012 (2012), Article ID 610527, 3 pages
http://dx.doi.org/10.1155/2012/610527
Case Report

Multiple Gastric Metastases from Ovarian Carcinoma Diagnosed by Endoscopic Ultrasound with Fine Needle Aspiration

1Department of Internal Medicine, Saint Joseph Mercy Hospital, Ann Arbor, MI 48106, USA
2Department of Pathology, Saint Joseph Mercy Hospital, Ann Arbor, MI 48106, USA
3Department of Gastroenterology and Internal Medicine, Saint Joseph Mercy Hospital, Ann Arbor, MI 48106, USA

Received 16 February 2012; Accepted 15 May 2012

Academic Editors: C. Elsing, K. Haruma, S. Kikuchi, F. H. Mourad, and C. T. Shun

Copyright © 2012 Mehmet Akce et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Metastasis to the stomach from nongastric tumors is a rare event. We present a case of ovarian cancer metastasis to the gastric wall that presented as multiple subepithelial gastric lesions. A 55-year-old female with known stage III b serous ovarian cancer was admitted to the hospital with melena and anemia. A 1.5 to 2 cm subepithelial mass with superficial overlying erosion in the antrum was seen in Esophagogastroduodenoscopy (EGD). Initial endoscopic mucosal biopsies were normal. An Endoscopic Ultrasound (EUS) was performed, which revealed two subepithelial lesions with the typical appearance of a gastrointestinal stromal tumor. Fine needle aspiration (FNA) of both masses revealed papillary adenocarcinoma from an ovarian papillary serous adenocarcinoma. This is the first reported case of multiple gastric metastatic lesions from ovarian cancer diagnosed by EUS FNA.