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

Diagnosis : peritoneal carcinomatosis( omental cake )

Diagnostic (DX): 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.