Estrogen-producing ovarian adenocarcinoma with large abscess formation

We report a postmenopausal patient with serous papillary cystadenocarcinoma of the ovary associated with large abscess formation and estrogen production. Ovarian cancer accompanied by stromal function is an occasional event, but large abscess association is a rarity. The present case is thus even rarer. Her clinical condition complicated by rupture of the abscess significantly improved with the administration of carboplatin and etoposide following surgical drainage. This fact possibly suggests the presence of chemical factors causing inflammatory reactions within the neoplastic tissue or fluid and clearly supports the definite efficacy of the combination chemotherapy in ovarian epithelial carcinoma associated with abscess formation.