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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 378438, 4 pages
http://dx.doi.org/10.1155/2013/378438
Case Report

Ovarian Metastasis from Lung Cancer: A Rare Entity

Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Tevfik Sağlam Street, No. 11, Zuhuratbaba, Bakirkoy, 34147 Istanbul, Turkey

Received 2 February 2013; Accepted 27 February 2013

Academic Editors: P. Kovacs and S. Salhan

Copyright © 2013 Huseyin Cengiz 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

This paper describes a case of ovarian metastasis from lung carcinoma along with its diagnostic challenges, clinical management, and review of the literature. A 49-year-old woman was admitted to our emergency department with complaints of abdominal pain and vomiting. A laparoscopic appendectomy was performed due to acute appendicitis, and a unilateral oophorectomy (left side) via laparoscopy was performed due to the detection of an ovarian mass. Immunohistochemical staining of the ovarian mass revealed that it was reactive to cytokeratin-7 (CK-7) but negative for CK-20. The immunohistochemical and pathological features of the tumor indicated an ovarian metastasis of non-small-cell lung cancer. The patient underwent chemotherapy and was followed up by the oncology department. Her postoperative regular followup of 6 months showed that her condition was stable with no recurrence. The management of female patients with acute abdominal pain and pelvic masses should consist of a multidisciplinary approach to include the diagnosis of any distant organ metastasis.