HX:A 56 year old woman , known case of ovarian cancer.

Findings: Soft tissue masses along omentum.

Diagnosis : peritoneal carcinomatosis( omental cake )

Diagnosis: Peritoneal seeding is the most common pathway for the spread of ovarian cancer.

Because 90% of ovarian cancers are surface epithelial carcinomas , that tumor cells are able to slough off the ovary and the peritoneal circulation , thereby seeding multiple sites.