RT Journal Article SR Electronic T1 Recurrent Urachal Mucinous Adenocarcinoma Presenting as Bilateral Ovarian Tumors on Cesarean Delivery JF International Journal of Gynecologic Cancer JO Int J Gynecol Cancer FD BMJ Publishing Group Ltd SP 1539 OP 1541 DO 10.1111/IGC.0b013e3181a84177 VO 19 IS 9 A1 Alaa El-Ghobashy A1 Corah Ohadike A1 Nafisa Wilkinson A1 Geoffery Lane A1 James D. Campbell YR 2009 UL http://ijgc.bmj.com/content/19/9/1539.abstract AB Secondary ovarian cancers, Krukenberg tumors, are a distinctive subset of metastatic tumors arising from the gastrointestinal tract (stomach, colon, and appendix), the biliary system, the breast, or other genital organs. These tumors account for 5% of all ovarian malignancies. Such metastases could mimic primary mucinous ovarian adenocarcinomas.1,2 Metastases from the urinary tract are uncommon.Primary adenocarcinoma of the bladder accounts for less than 1% of all bladder malignancies; one third of these tumors are urachal in origin.3 Urachal cancers are rare and tend to occur in older men (mean age, 50-60 years); however, it was described previously in a 15-year-old girl.4 Symptoms include hematuria, dysuria, frequency, urgency, and recurrent urinary tract infections.5 These tumors have a predilection to locally spread to the surrounding organs. Ovarian metastasis is a rare event and is infrequently reported in literature.