...42-year-old Chinese woman with high-grade serous ovarian carcinoma…ovarian tumor showed two BRCA1 pathogenic variants. Germline pathogenic variant of c.2110_2111DelAA and a somatic variant of c.4071_4096+14del40…additional oncogenic mutations; TP53 c.1025G>C p.R342P and NOTCH2 c.3930G> p.Q1310H... was advised to another treatment regimen, Topotecan, and Bevacizumab, after a month…In June 2019, she presented with vague breast discomfort and a lump in the left breast…All data were consistent with metastatic serous carcinoma of the ovary…