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Objective
To report on a rare case of renal recurrence of ovarian malignancy. The frequency of secondary tumours of the kidney is underestimated, especially as their diagnosis is often delayed, after nephrectomy or autopsy. Unusual sites for recurrent ovarian metastases include extrahepatic solid organs (except the spleen), bone and the abdominal wall.
Methods
Our case represents only the fifth reported case of metastatic ovarian carcinoma presenting as a solitary renal metastatic recurrence in the literature in 30 years.
Results
A 47-year-old woman presented with vague abdominal pain. An initial ultrasonography (US) revealed a right ovarian mass, with no other mass in other organs including the kidneys. She underwent right adnexectomy. Histology confirmed an ovarian carcinoma. The patient had adjuvant chemotherapy. A computed tomography scan after surgery revealed a mass in the left kidney. US-guided percutaneous biopsy of the left renal mass confirmed metastatic carcinoma of ovarian origin. The patient underwent left nephrectomy. Histology of the renal mass confirmed the initial findings of the biopsy. Follow-up after 12 months showed complete remission, with no recurrence.
Conclusion
Although unusual, awareness of the possibility of rare and atypical sites of ovarian metastatic recurrence, as in our case, can result in early image-guided diagnosis and treatment.