► Ovarian cancer presents as thoracic vertebral lesion in the absence of gross abdominal disease ► Bilateral salpingo-oophorectomy with surgical resection of vertebral lesion leaves patient with no clinical evidence of disease ► Ovarian cancer can present as vertebral metastases in the absence of pelvic or abdominal metastatic disease.
Keywords: Metastases; Ovarian cancer; Vertebral.