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Most cancers start in one place. A primary cancer is named for the site where it was originally discovered. For example, a primary ovarian cancer is a cancer located in the ovaries.  A secondary cancer is a primary cancer that has spread, or metastasized, to another organ.  So, if you have ovarian cancer that has spread to the liver, you have primary ovarian cancer with secondary, or metastatic, ovarian cancer in the liver.