Kukreja Prachi, Yeshvanth Sunil Kumar, Shrinivas Teerthanath, Agrawal Tanu, Shetty Jayaprakash K
Postgraduate, Department of Pathology, KS Hegde Medical Academy , Mangalore, India .
Associate Professor, Department of Pathology, KS Hegde Medical Academy , Mangalore, India .
J Clin Diagn Res. 2015 Jul;9(7):ED07-8. doi: 10.7860/JCDR/2015/12767.6182. Epub 2015 Jul 1.
Co-existence of mucinous cystadenocarcinoma with mature cystic teratoma in the same ovary is very rare. We report a case in a 48-year-old female who presented with left abdominal mass. CT scan revealed a heterogeneous enhancing left ovarian mass lesion. Clinical diagnosis of complex ovarian cyst was made, later underwent laparotomy and histologically diagnosed as mucinous cystadenocarcinoma (grade 2) co-existing with benign cystic teratoma, stage Ia (FIGO) of the left ovary. Six months after surgery, the patient is doing well without any recurrence or metastasis. Hence, histopathological examination plays a significant role in accurate diagnosis and management of the patient. So, we should be aware of these rare co-existent tumours and meticulous dissection should be done to look for any synchronous tumours or malignant areas; since management and prognosis will vary significantly depending upon the microscopic type and stage.
黏液性囊腺癌与成熟囊性畸胎瘤在同一卵巢中并存极为罕见。我们报告一例48岁女性,她因左腹部肿块就诊。CT扫描显示左侧卵巢有一个不均匀强化的肿块病变。临床诊断为复杂卵巢囊肿,随后接受剖腹手术,组织学诊断为黏液性囊腺癌(2级)与良性囊性畸胎瘤并存,左侧卵巢为Ia期(国际妇产科联盟)。手术后六个月,患者情况良好,无任何复发或转移。因此,组织病理学检查在患者的准确诊断和管理中起着重要作用。所以,我们应该了解这些罕见的并存肿瘤,并且应进行细致的解剖以寻找任何同步肿瘤或恶性区域;因为根据微观类型和分期,管理和预后会有显著差异。