Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report

Despite the rarity of abdominal or chest wall metastases in ovarian cancer patients, reports have described instances of isolated late recurrence at surgical incision sites. We report the case of an 85-year-old woman who present with a massive metastatic tumor on the right anterior abdominal wall 42...

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Main Authors: Roland Csorba, Paul Buderath, Marc Ingenwerth, Sa'ed Almasarweh, Zeynep Atas Elfrink
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Case Reports in Women's Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214911225000177
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author Roland Csorba
Paul Buderath
Marc Ingenwerth
Sa'ed Almasarweh
Zeynep Atas Elfrink
author_facet Roland Csorba
Paul Buderath
Marc Ingenwerth
Sa'ed Almasarweh
Zeynep Atas Elfrink
author_sort Roland Csorba
collection DOAJ
description Despite the rarity of abdominal or chest wall metastases in ovarian cancer patients, reports have described instances of isolated late recurrence at surgical incision sites. We report the case of an 85-year-old woman who present with a massive metastatic tumor on the right anterior abdominal wall 42 years after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy for primary ovarian cancer. The abdominal wall tumor was resected en bloc, and abdominal wall reconstruction was performed using a mesh. Histology revealed a low-grade serous carcinoma.This report highlights the possibility of abdominal wall metastases after prolonged survival following the treatment of ovarian cancer. Surgical excision combined with mesh reconstruction represents an adequate treatment approach for such cases. Caution should be exercised during laparotomy to ensure complete removal of malignant tissue and to prevent parietal dissemination. Long-term follow-up is crucial for ovarian cancer patients, as late recurrences, although rare, can occur even decades after initial treatment.
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spelling doaj-art-e395c4f539804bd68c8b30ebeb1fc2b62025-08-20T02:01:15ZengElsevierCase Reports in Women's Health2214-91122025-03-0145e0069610.1016/j.crwh.2025.e00696Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case reportRoland Csorba0Paul Buderath1Marc Ingenwerth2Sa'ed Almasarweh3Zeynep Atas Elfrink4Department of Gynecology and Obstetrics, Essen University Hospital, Essen, Germany; Corresponding author.Department of Gynecology and Obstetrics, Essen University Hospital, Essen, GermanyDepartment of Pathology, Essen University Hospital, Essen, GermanyDepartment of Gynecology and Obstetrics, Essen University Hospital, Essen, GermanyDepartment of Gynecology and Obstetrics, Essen University Hospital, Essen, GermanyDespite the rarity of abdominal or chest wall metastases in ovarian cancer patients, reports have described instances of isolated late recurrence at surgical incision sites. We report the case of an 85-year-old woman who present with a massive metastatic tumor on the right anterior abdominal wall 42 years after undergoing a total abdominal hysterectomy and bilateral salpingo-oophorectomy for primary ovarian cancer. The abdominal wall tumor was resected en bloc, and abdominal wall reconstruction was performed using a mesh. Histology revealed a low-grade serous carcinoma.This report highlights the possibility of abdominal wall metastases after prolonged survival following the treatment of ovarian cancer. Surgical excision combined with mesh reconstruction represents an adequate treatment approach for such cases. Caution should be exercised during laparotomy to ensure complete removal of malignant tissue and to prevent parietal dissemination. Long-term follow-up is crucial for ovarian cancer patients, as late recurrences, although rare, can occur even decades after initial treatment.http://www.sciencedirect.com/science/article/pii/S2214911225000177Ovarian cancerAbdominal wall metastasisLate recurrenceLong-term follow-up
spellingShingle Roland Csorba
Paul Buderath
Marc Ingenwerth
Sa'ed Almasarweh
Zeynep Atas Elfrink
Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
Case Reports in Women's Health
Ovarian cancer
Abdominal wall metastasis
Late recurrence
Long-term follow-up
title Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
title_full Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
title_fullStr Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
title_full_unstemmed Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
title_short Isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer: A case report
title_sort isolated abdominal wall metastasis 42 years after curative surgery for ovarian cancer a case report
topic Ovarian cancer
Abdominal wall metastasis
Late recurrence
Long-term follow-up
url http://www.sciencedirect.com/science/article/pii/S2214911225000177
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AT paulbuderath isolatedabdominalwallmetastasis42yearsaftercurativesurgeryforovariancanceracasereport
AT marcingenwerth isolatedabdominalwallmetastasis42yearsaftercurativesurgeryforovariancanceracasereport
AT saedalmasarweh isolatedabdominalwallmetastasis42yearsaftercurativesurgeryforovariancanceracasereport
AT zeynepataselfrink isolatedabdominalwallmetastasis42yearsaftercurativesurgeryforovariancanceracasereport