Achievement of 10-year survival: a case of pubic bone recurrence as the primary failure site of chemo-refractory ovarian clear cell carcinoma.

Clear cell carcinoma of the ovary tends to have a poor response to conventional platinum-based chemotherapy. Bone recurrence from ovarian cancer is rare and prognosis of patients with such a condition is poor. We report a patient with chemo-refractory ovarian clear cell carcinoma who developed pubic bone recurrence and subsequent para-aortic node recurrence. The patient achieved long-term survival after salvage surgery twice in spite of these inauspicious conditions. Surgical treatment should be taken into consideration for skeletal recurrence from ovarian clear cell carcinoma.