omental cake

Omental cake refers to infiltration of the omental fat by material of soft-tissue density. The appearances refer to the contiguous omental mass simulating the top of a cake. Masses on the peritoneal surfaces and malignant ascites may also be present.

Pathology

The most common cause is metastases from ovarian, gastric, or colon cancer.

Differential diagnosis

A core biopsy may be helpful if the primary tumor is unknown.

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