“…Reports in the literature describing serous neoplasms "metastatic" to the liver were limited, 24,26,29,30,33,34,39,40,43,44,[46][47][48][49] and of these 10 (59%) had metachronous 26,29,33,34,39,40,43,44,46,47 and 7 (41%) had synchronous liver serous neoplasms, 24,30,39,43,48,49 with 1 case being clinically suspicious for VHL disease. 24 During the documented follow-up period (range, 0 to 19 y; mean, 4.6 y), 3 of these patients died (1 of unrelated disease, 46 another from surgical complications, 24 and the third reportedly of disease progression [this tumor was never resected, nor confirmed on detailed histologic evaluation]).…”