Abstract
Melanoma is an malignant tumor with an unpredictable profile of spread and variable
periods of remissions. Both ovarian involvement of malignant melanoma and primary
ovarian melanoma are extremely rare conditions with few cases reported in the literature.
They always represent a diagnostic challenge as they mimic various ovarian entities
from primary ovarian malignancy to benign tumors. Ovarian metastasis often present
with images similar to the primary tumors, and there is no typical finding that differentiate
them, apart from the multilocular tendency which would favor a primary process. We
here report an extremely rare case of ovarian melanoma metastasis with detailed ultrasound
examination, never specifically described in literature and whit the “Golf Ball” aspect.
This metastatic tumor seems to be bilateral, with mean diameter (<10 cm), main solid appearance, and rich vascularization, so more comparable to stomach-breast
metastases. Moreover atypical multiple small cysts responsible of ultrasound “golf
ball” aspect correspond to the histological diagnosis of follicular cysts surrounded
by metastatic cancer while partial hyperechoic solid component could be related to
the different histological pattern.
These sonographic features may be useful in the difficult differential diagnosis between
ovarian cancer primitive and ovarian melanoma metastases especially in cases with
unclear patient history.
Keywords
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References
- Ovarian metastasis from choroidal melanoma.Clin. Imag. 2008; 32: 318-320
- Terms, definitions and measuraments to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group.Ultrasound. Obstet. Gynecol. 2000; 16: 500-505
- Borderline ovarian tumors: features and controversial aspects.Eur. J. Obstet. Gynecol. Reprod. Biol. 2013; 167: 86-89
- Preoperative diagnosis of metastatic ovarian cancer is related to origin of primary tumor.Ultrasound Obstet. Gynecol. 2012; 39: 581-586
Article info
Publication history
Published online: November 23, 2017
Accepted:
November 9,
2017
Received:
July 13,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
