Synchronous Tumors in the Cecum and Ovary: Differentiating a Primary Colonic Tumor from Metastasis

A BSTRACT Metastasis to the ovary by colon cancer is a known entity; however, isolated colon metastasis from the ovarian primary is rare. We present a case of a postmenopausal, multiparous woman who had a cecal growth and bilateral adnexal mass, finally diagnosed with primary ovarian cancer without overt peritoneal disease with metastasis to the cecum based on immunohistochemistry. Complete workup and preparedness for intraoperative change of plans are essential while dealing with such situations.