Presentation
History of left oophorectomy for ovarian mucinous carcinoma 2 years ago. Now presented with abdominal pain.
Patient Data
Multiple calcific peritoneal masses within the lesser sac and the pelvis, the largest mass is seen within the pelvis. Alo multiple enlarged calcific para-aortic lymph nodes are noted. Diffuse omental nodular soft tissue with moderate abdominal and pelvic ascites.
Scanned lower chest cuts showed bilateral large calcific pulmonary nodules as well as calcific left hilar and posterior mediastinal lymph nodes.
Case Discussion
The case illustrates calcified peritoneal, nodal and pulmonary metastasis in a known case of ovarian mucinous carcinoma.
Calcified metastases are most frequently associated with mucin-producing neoplasms such as colon or ovarian carcinoma.
DDx for peritoneal calcifications includes prior peritonitis, peritoneal dialysis, hyperparathyrodism, granulomatous infection (TB). Benign causes of peritoneal calcifications are usually sheet-like linear calcification, whereas nodular calcification is typically malignant.
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