Metastasis to mediastinal lymph nodes from ovarian cancer: A case report

Metastasis to mediastinal lymph nodes is an uncommon finding in epithelial ovarian cancers. We could only find five reports in the literature of mediastinal metastases from high-grade serous ovarian carcinoma. A 49-year-old woman was admitted to hospital for dyspnea due to an anterior mediastinal mass. PET (Pozitron emission tomography) and CT (Computed tomography) combined to assess the mediastinal mass and lymph nodes. The surgical biopsy showed metastatic involvement of multiple lymph nodes in adipouse tissue and accompanying mediastinal mass which was reported as a thymolipoma. A clinician and a radiologist should be aware of the mediastinal lymph node involvement in ovarian serous papillary adenocarcinoma although it is rare.