Ovarian cancer (OC) was the third most common gynecological cancer in 2020. Epithelial malignancies account for 95% of OC cases. Indeed, epithelial ovarian cancer (EOC) is the major histologic subtype of OC. Among the EOC subtypes, serous carcinoma is the most prevalent. A diagnosis of OC is usually made in the later stages of the disease, rendering it the most lethal gynecological cancer. We report a rare case of EOC in a middle-aged woman who presented with persistent flank pain and was referred for transabdominal ultrasonography to exclude renal pathology; however, complex bilateral ovarian masses were detected. The imaging features and histopathology led to a diagnosis of bilateral ovarian serous cystadenocarcinoma with peritoneal dissemination and an incidentally discovered cervical fibroid. Hence, this report documents a rare case that underscores the diagnostic challenges posed by incidental findings and highlights the need for both greater awareness and timely intervention in similar clinical scenarios.
Hussein et al. (Sat,) studied this question.
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