[Isolated splenic metastases of cancer of the ovary]

The authors present a case history of a patient whose most recent relapse occurred 7 years after the initial laparotomy carried out for bilateral ovarian stage III cystadenocarcinoma diagnosed by biological follow-up (CA 125) which occurred because of isolated splenic metastases which were identified thanks to ultrasound examination. The literature, which has been searched fails to show a clinical description of a case with metastases localised just to this site. We propose an explanation of the mechanism and an analysis of the methods of follow-up that can be carried out showing that it is useful to use CA 125 as a checK on epithelial tumours of the ovary.