A. Microscopic photograph (HE, X200) of the right inguinal tumor of the first resection. Cancer cells had marked eosinophilic cytoplasm and moderately atypical nucleus. Cancer cells show micropapillary growth pattern into the lymphatic node and many Psammoma bodies (hallow arrow) are evident. These findings indicate metastasis of serous papillary adenocarcinoma. B. Microscopic photograph (HE, X200) of the ovarium. Almost whole ovarial tissue had been replaced by fibrothecoma (FT) without carcinoma cells (C), but tumor cells invaded from the out side of the ovary. C. Microscopic photograph (HE, X40) of the rectum. Adenocarcinoma cells infiltrated from the serosal side to the submucosal layer (hallow arrow), however, no cancer cells had reached to the mucosal layer (M). D. Microscopic photograph (HE, X200) of the right inguinal lymph node of the 3rd resection. Metastasized serous papillary adenocarcinoma cells are growing in micropapillary pattern into the lymphatic tissue similarly as Fig. 2-A. Hallow allow represents Psammoma body.