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A 39-year-old woman was referred after surgery on her remaining ovary showed papillary serous ovarian cancer. Imaging before that procedure had shown an ovarian mass with small peritoneal nodules. During her specialist assessment, an enlarged right axillary lymph node was also found. Breast imaging did not show a breast tumor, and sampling of the lymph node confirmed that it contained cancer from the ovary.
Because the ovarian cancer had already spread to a distant axillary lymph node, her disease was Stage IV at presentation. She underwent cytoreductive surgery that included removal of the uterus, remaining ovary and fallopian tube, omentum, visible peritoneal deposits, and affected axillary lymph nodes.
Final pathology confirmed high-grade papillary serous ovarian carcinoma with tumor deposits in the omentum and peritoneum and cancer in 1 of 17 removed axillary lymph nodes.
She recovered well from surgery and was referred to medical oncology for adjuvant treatment.
This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full
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These are lay summaries of published cancer stories, for information only. No two cancers behave the same way, and nothing here predicts your own diagnosis or replaces advice from your oncology team. Read the full disclaimer