Woman 64 yo, abdomen distention slowly for 3 months (photo).
Ultrasound first found out ascites with slouge fluid and many debris, normal liver, omentum thickening like cake with many hypoechoic nodules and pelvis no tumor.
Chest X-Rays was normal.
MSCT of abdomen reported a large amount of ascites and great omentum thickening with many nodules, enhanced with CE and no ovary tumor.
Punction of yellowish ascites that cytology was negative and ADA negative. Blood test was very high CA 125.
Laparoendoscopy cannot detect primary tumor, but many white nodules covered the great omentum but not in parietal peritoneum.
Biopsy the great omentum nodule. Microscopic report was undiffentiated adenocarcinoma, suspected come from GI TRACT or OVARIAN CARCINOMA.
What is your interpretation?.