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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Malignant melanoma ovarian metastasis mimicking acute tuboovarian abscess
V. Fenzl1,4,*, I. Prkacin2,5, A. Skrtic3,5
1 Department of Gynecology and Obstetrics, University Hospital “Merkur”
1 5School of Medicine, University of Zagreb, Zagreb (Croatia)
2 Department of Medicine, University Hospital “Merkur”
3 Department of Gynecological Pathology, University Hospital “Merkur”
4 University of Applied Health Studies
Eur. J. Gynaecol. Oncol. 2011, 32(5), 582–584;
Published: 10 October 2011
Background: Metastases of malignant melanoma to the reproductive organs are occasionally encountered. They always represent a diagnostic challenge and they mimic various ovarian entities from primary ovarian malignancy to benign tumors. Case: A 35-yearold woman presented with bilateral ovarian metastases which had clinical features of an acute state mimicking a tuboovarian abscess. The diagnosis was established postoperatively. Conclusion: Sophisticated imaging methods may be necessary in cases of ovarian tumors in patients with a previous history of melanoma with possible metastatic dissemination. Urgent admittance and treatment of these patients with a range of clinical symptoms can be critical and may lead to a wrong diagnosis. Attentive monitoring of ovarian morphology in women with treated malignant melanoma is mandatory to detect rare but possible metastatic sites. Regardless of surgical and adjuvant therapy dissemination of malignant melanoma to the ovary has unfortunately a poor prognosis.