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In this report, a 50\u2010year\u2010old female with a remote history of a serous borderline ovarian tumor experienced a recurrence of LGSC, presenting as a large solitary subcutaneous mass anterior to the sternum after a 33\u2010year disease\u2010free interval. The described case highlights the unpredictable nature of this disease and the importance of implementing lifelong surveillance strategies.<\/jats:p>","DOI":"10.1002\/jso.25380","type":"journal-article","created":{"date-parts":[[2019,1,16]],"date-time":"2019-01-16T04:53:20Z","timestamp":1547614400000},"page":"814-816","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Rare metastatic patterns after malignant transformation of serous borderline tumor of the ovary"],"prefix":"10.1002","volume":"119","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8136-2825","authenticated-orcid":false,"given":"John","family":"Siemon","sequence":"first","affiliation":[{"name":"Division of Gynecologic Oncology Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dao M","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgical Oncology University of Miami Miller School of Medicine Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Pathology Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Schlumbrecht","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,15]]},"reference":[{"key":"e_1_2_5_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000282"},{"issue":"2","key":"e_1_2_5_1_3_1","first-page":"247","article-title":"IV. 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