A rare case of anterior sternal metastasis in ovarian cancer: A case report

• DOI: 10.1016/j.radcr.2024.06.097
• Publication Date: 2024-07-27T01:23:27Z
• Authors: Chaimae Lahlou; Badr Kabila; Ihssan Hadj Hssain; Mouna Khmou; Youssef Omor; Rachida Latib; Basma El Khannoussi
• Keywords: Medical physics. Medical radiology. Nuclear medicine; 03 medical and health sciences; 0302 clinical medicine; Ovarian cancer; R895-920; Sister Joseph's nodules; Case Report; Subcutaneous metastasis

A subcutaneous mass in the anterior region of the thorax, (presternal region). Subcutaneous metastases in ovarian cancer are rare, occurring in 0.9% to 5.8% of cases. They are usually a late manifestation that arises several years after the initial diagnosis and often serve as a poor prognostic indicator. Their presence suggests a reported median survival ranging from 3 to 18 months. subcutaneous metastases can be categorized into umbilical metastases, commonly referred to as Sister Joseph's nodules (SJN) the most prevalent type, and non-SJN cutaneous metastases. We present the unusual case of a 57-year-old woman who underwent surgical intervention and received adjuvant chemotherapy for serous ovarian adenocarcinoma. She presented for consultation 5 years later with a painful presternal mass, and the histopathological examination of the mass revealed a metastasis of the primary ovarian tumor.