Ovarian Cancer

Not infrequently the major bulk of tumor in a patient with newly diagnosed ovarian cancer does not involve the ovaries. This photograph shows massive involvement of the omentum ( a pad of fat in the upper abdomen which is attached to the lower margin of the stomach) by an ovarian adenocarcinoma. Once an intra-abdominal malignancy starts to metastisize within the abdominal cavity the omentum is often preferentially involved. Removing all or a portion of the omentum even if it appears to be free of tumor implants is a very important step in adequately staging an early ovarian cancer.