World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website

Case Report

Volume 3, Number 3, June 2012, pages 138-141

Clinical Evidence: Metastases can Metastasize


Figure 1.
Figure 1. (A) Stable liver metastases (upper white arrows) and pelvic metastasis (lower arrow). (B) Axial CT showing no obvious peritoneal mass at the pylorus. (C) Repeat axial CT performed one year later documenting a new mass (thick white arrow) at the level of the pylorus.
Figure 2.
Figure 2. (A) Pyloric tumor (asterisk) invading from serosa without mucosal involvement. (B) Tumor cells within the subserosal, intramuscular, and submucosal lymphovascular channels (black arrows). (C) Hepatic artery lymph node containing metastatic foci (asterisks). (D) P53 immunohistochemical staining confirms low-grade papillary serous carcinoma of the ovary.