A Case of Metastatic Ovarian Cancer Arising in Plasma Cell Leukemia

Han, M S; Han, J S; Park, Y K; Lee, H S; Park, J D; Huh, C K

Abstract

About 5~6% of ovarian malignances are metastatic from other organs. But leukemic infiltration of the ovaries is uncommon and especially one from plasma cell leukemia is extremely rare. When leukemic infiltration of the ovaries occurs, the involvement is usually bilateral. Increased immature plasma cells in peripheral blood and plasma cell infiltration of bone marrow and other organs are major characteristics of plasma cell leukemia. Ovaries can be the apparent site of involvement of the abdominal or pelvic viscera with a leukemia; if this circumstance is found, a careful surgical exploration may be necessary. We experienced one case of metastatic ovarian cancer arising in plasma cell leukemia of bone marrow on a 37-year-old multiparous women who eventually had emergent laparotomy due to twisting and hemorrhage of tumor-infiltrated ovary during chemotherapy. She was performed total abdominal hysterectomy and bilateral salpingooophorectomy.