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Updated: Aug 23, 2026
Quantitation of Intra-peritoneal Ovarian Cancer Metastasis
Published on: July 18, 2016
Hematogenous rectal metastasis 20 years after removal of epithelial ovarian cancer
Cynthia Trastour1, Amine Rahili, Charlotte Schumacker
1Department of Gynecology-Obstetric-Infertility and Fetal Medicine, Archet II Hospital, 151 route St-Antoine de Ginistière BP 3079, 06202 Nice cedex 3, France. ctrastour@hotmail.com
Background:
Rectal tumors are rarely metastatic. Moreover, hematogenous spread is rare in ovarian cancer whose dissemination frequently occurs through peritoneal or lymphatic ways.
Case:
A 55-year-old female presented with a rectal metastasis that appeared 20 years after the treatment of a primary clear cell carcinoma of the ovary. The cytokeratin 7 positive/cytokeratin 20 negative immunophenotype assessed the ovarian origin of the rectal tumor. Because of the integrity of the rectal serosa and the uninvolved mesenteric lymph nodes, we hypothesize our rectal metastasis to come from the hematogenous way.
Conclusion:
This is the first reported case of hematogenous rectal metastasis in epithelial ovarian carcinoma and that, with so late delay.
