The greater omentum is also an important site for metastatic tumor spread. Direct omental spread by a transcoelomic route is common for carcinoma of the ovary. As the metastases develop within the greater omentum, it becomes significantly thickened.
In computed tomography imaging and during laparotomy, the thickened omentum is referred to as an “omental cake.”
In the clinic
Epithelial transition between the abdominal esophagus and stomach