PMC3399419_01
Ovary tissue, in the adjacent of corpus albicans (short arrows), showing irregular neoplastic glandular structure (long arrows), x200 H & E.
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fig1
In her past medical history, she underwent a total abdominal hysterectomy, bilateral salpingooophorectomy, omentectomy, appendectomy, and para-aortic lymph nodes dissection due to papillary serous ovarian adenocarcinoma about ten months prior to current diagnosis (Figure 1).
Abdominal CT shows a 4 x 2 cm-sized cystic lesion in mid portion of pancreas.
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The cystic lesion was revealed by an abdominal computerized tomography (CT) and then confirmed by magnetic resonance imaging (MRI) performed regularly in her followup (Figures 2 and 3).
Abdominal MRI reveals a cystic lesion measured 4 x 2 cm in mid portion of pancreas.
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fig3
The cystic lesion was revealed by an abdominal computerized tomography (CT) and then confirmed by magnetic resonance imaging (MRI) performed regularly in her followup (Figures 2 and 3).
Neoplastic cell islands within fibrotic stroma of pancreas showing similar feature to that of in ovary (arrows), x200, H & E.
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fig4
The final pathology showed high-grade papillary serous adenocarcinoma morphologically similar to the previously diagnosed ovarian cancer with cancer free of surgical margins (Figure 4).