PMC3913155_01
Ovarian tumor (A: CT scan B: Histopathology C: CK 20 D: CK 7)
IJHOSCR-8-046-g001.jpg
PMC3913155_01_IJHOSCR-8-046-g001.jpg
F0001
In pelvic sonography and then in abdominopelvic CT scan a large ovarian mass was seen (Figure 1-A). Both ovaries were involved and in immunohistochemistry (IHC) the tumor was CK7- and CK20+ (Figure 1-C & D), compatible with colon cancer origin.
Breast tumor (A: mammography B: frozen section C: lymph node metastasis D: CK 20 E:CK 7)
IJHOSCR-8-046-g002.jpg
PMC3913155_01_IJHOSCR-8-046-g002.jpg
F0002
Mammography was reported normal (Figure 2-A) but sonography showed a mass in left breast. A 9 centimeters mass was detected and axillary lymph nodes were involved (Figure 2-C). CK7, estrogen receptor(ER), progesterone receptor (PR), E-cadherin and Her-2 overexpression were negative and CK20 was positive(Figure 2-D & E) compatible with colonic origin of metastasis. Chemotherapy was started again.