Extraordinary Pattern with Brain Metastasis of Ovarian Cancer with Five Cases: Survival Impact of Cranial Metastesectomy. Do or Not To Do?

Abstract

Ovarian malignancies primarily disseminate through the peritoneal cavity and are only superficially invasive. They rarely metastasise through the haematogenous route, but that occurs in the presence of heavy peritoneal disease. Colon and brain metastasis are rare entity and both of them in one patient is in our first case with slightly elevated Ca125 level. Four cases had single and the other had multiple cranial metastasis with no evidence of the disease in the other part of the body.