|
METASTATIC CANCER OF THE OVARY
Dr. Mark Pleatman presents a case of ovarian carcinoma in a 92 year old woman who presented with malaise, abdominal distension, and loss of appetite. CT scan showed ascites and omental caking. No specific mass was seen. Paracentesis was done first, but cytology was negative. Laparoscopy was therefore done to make a diagnosis. A 5 mm. laparoscope was used to minimize the risk of leakage of ascites fluid from the incision after surgery.
|
This photo shows blood-stained ascites fluid with an adhesion of small bowel to the abdominal wall.
|
This photo also shows the omentum with white deposits which represent metastatic tumor.
|
In this phot one can see the liver and gallbladder, with multiple white deposits of tumor on the abdominal wall.
|
This photo also shows ascitic fluid as well as extensive involvement of the omentum by tumor.
|
A biopsy is taken of one of the tumor deposits on the abdominal wall.
|
|
