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Imaging studies identified enhancing lesions in the thigh musculature, temporalis, parotid gland, pterygoid, masseter, tongue, cerebellum and leptomeninges. Biopsy of one of the thigh lesions confirmed the diagnosis of mucinous adenocarcinoma. She succumbed to the disease in November 2013. This case illustrates the aggressive nature of mucinous epithelial ovarian cancer and its resilience to conventional chemotherapy. On account of its high death rate, it is recommended that the epithelial\u2013mesenchymal transition be researched and early therapy targeted at the <jats:italic>k-ras<\/jats:italic> oncogene initiated in spite of the tumour's lower initial staging.<\/jats:p>","DOI":"10.1136\/bcr-2013-203361","type":"journal-article","created":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T09:40:50Z","timestamp":1400233250000},"page":"bcr2013203361","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Trismus and diffuse polymyalgia: an unusual presentation of recurrent metastatic ovarian cancer"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ramsis","family":"Benjamin","sequence":"first","affiliation":[{"name":"Department of Neurology, City of Hope, Duarte, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhai","sequence":"additional","affiliation":[{"name":"Department of Pathology, City of Hope, Duarte, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, City of Hope, Duarte, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neal","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Neurology, City of Hope, Duarte, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,5,16]]},"reference":[{"key":"2025082707270668000_2014.may15_1.bcr2013203361.1","unstructured":"Cancer Statistics Working Group. 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