Stage IV micropapillary serous ovarian carcinoma: a report of three cases

Yong-Wook Kim1, Monica Srodon, Robert E Bristow

  • 1The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.

Insights

Stage IV micropapillary serous carcinomas (MPSCs) can aggressively metastasize. This study details three cases, including umbilical and pleural metastases, highlighting MPSC

Area of Science:

  • Gynecologic Oncology
  • Pathology

Background:

  • Micropapillary serous carcinomas (MPSCs) are distinct from ovarian serous borderline tumors.
  • Limited clinicopathologic data exists for stage IV MPSCs.

Observation:

  • Three stage IV invasive MPSC cases were analyzed.
  • One patient presented with an umbilical metastasis (Sister Mary Joseph's nodule).
  • Two patients had cytologically positive pleural effusions.

Findings:

  • Stage IV MPSCs exhibit aggressive behavior.
  • Distant metastases are a potential clinical manifestation of stage IV MPSCs.

Implications:

  • These findings underscore the aggressive nature of MPSCs.
  • Further research is needed to understand MPSC metastasis patterns and improve patient outcomes.

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