Figure 1. Positron emission tomography (PET)/computed tomography (CT) showed abnormal accumulation in the spleen, the para-aortic and Virchow’s lymph node, the intestine, and the pouch of Douglas (arrows).

From: Splenic and Peritoneal Metastases with Para-aortic and Virchow Lymph Node Metastases: Late Recurrence of Ovarian Cancer 30 Years after Initial Treatment

Figure 2. Computed tomography revealed small bowel wall thickening (arrow), which caused a mechanical bowel obstruction. At surgery, peritoneal dissemination and ascites were confirmed. The patient underwent a partial resection of the intestine.

From: Splenic and Peritoneal Metastases with Para-aortic and Virchow Lymph Node Metastases: Late Recurrence of Ovarian Cancer 30 Years after Initial Treatment

Figure 3. Pathological examination of the resected intestine showing features of high-grade serous carcinoma characterized by papillary and solid growth patterns (a). Immunohistochemical analysis showing positive staining for the PAX8 (b), WT-1 (c), and p53 (d).

From: Splenic and Peritoneal Metastases with Para-aortic and Virchow Lymph Node Metastases: Late Recurrence of Ovarian Cancer 30 Years after Initial Treatment

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