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Fig. 7A —56-year-old woman with ovarian cancer treated with
cytoreductive surgery and cisplatin-based chemotherapy 10 years earlier.
Patient presented with jaundice and pruritus. Axial CT sections show dilated
common bile duct (curved arrow, A) caused by obstruction by
ill-defined hypodense mass (straight arrow) in pancreatic head.
Patient underwent exploratory laparotomy and biopsy of mass in pancreatic
head. Histology was consistent with poorly differentiated metastatic carcinoma
of ovarian origin. Incidentally, she had chronic right hydronephrosis (K)
related to congenital ureteropelvic junction obstruction and marked thinning
of renal parenchyma.
