Metastatic Carcinoma in the Ovary

  • Ancel Blaustein


The ovary is a fairly frequent site of metastasis from certain primary carcinomas; approximately 10% of ovarian tumors are not primary in origin.5,8,9,18,21 The most common metastasis is from a carcinoma arising in the endometrium. Other primary tumors that have a predeliction for metastasis to the ovary are from the gastrointestinal (GI) tract1 and breast.4,10 Tumors that metastasize to the ovary much less frequently include those arising in the cervix, fallopian tube, pancreas, gallbladder, lung, and cutaneous melanoma. A study of secondary ovarian carcinoma by Woodruff and Novak21 demonstrated that at least 50% of the primary tumors giving rise to ovarian metastases were below the diaphragm and 13% above. Metastatic carcinoma to the ovary is bilateral in from 70 to 90% of cases6,8,21; unilateral involvement usually is found where metastasis occurs by contiguity. There are, however, instances of unilateral metastases that are difficult to explain, e.g., from the breast or the GI tract.


Breast Carcinoma Ovarian Carcinoma Fallopian Tube Carcinoid Tumor Endometrial Carcinoma 
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© Springer Science+Business Media New York 1977

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  • Ancel Blaustein

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