[Hemorrhagic gastric metastasis of an ovarian carcinoma]

Gastric metastases not resulting from direct invasion: Report of 5 cases and review of the literature

Gastric metastases not resulting from direct invasion are rare. Clinically, these patients present with nonspecific symptoms, which easily lead to missed diagnosis or misdiagnosis. MSCT findings of the disease may vary but often have characteristic features, different from those of gastric stromal tumors and primary gastric cancer. Thus, for cancer patients with gastrointestinal symptoms, medical imaging workers should improve the recognition and vigilance of the disease. Careful identification of the characteristic MSCT findings combined with the clinical history can help provide a suggestive diagnosis.

Gastric metastasis from ovarian carcinoma: A case report and literature review

An isolated parenchymal gastric metastasis from ovarian carcinoma without any other sites of recurrence is extremely rare. Only two cases have been reported, both of which were symptomatic. We herein report such a case without any symptoms. A 61-year-old woman presented with a high cancer antigen-125 level without any other clinical manifestation. A subsequent ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) positron emission tomography/computed tomography scan revealed a submucosal mass with hypermetabolism of ¹⁸F-FDG (standardized uptake value: 5.36) in the gastric antrum. The final pathology after gastric antrectomy showed a metastatic gastric tumor from a primary ovarian carcinoma. We also performed an extensive literature review about gastric metastasis from ovarian carcinoma published until recently, and this is the first case of an isolated parenchymal gastric metastasis from ovarian carcinoma without any symptoms.