Ortiz Wendolin J, Morris Michael W, Cervantes Mario
General Surgery, Universidad Autónoma de Baja California, Mexicali, MEX.
General Surgery, HCA (Hospital Corporation of America) Houston Healthcare Kingwood, Houston, USA.
Cureus. 2023 Apr 5;15(4):e37176. doi: 10.7759/cureus.37176. eCollection 2023 Apr.
We present the case of a 73-year-old woman who was incidentally found to have a malignant Brenner tumor (MBT) of the ovary during an evaluation for deep vein thrombosis (DVT). The patient presented with swelling in her left leg, non-healing ulcers, weakness, and numbness in her lower limbs. Imaging studies revealed a large multiloculated cystic mass with areas of calcification in the left adnexa extending to the upper abdomen toward the gallbladder fossa. The patient underwent exploratory laparotomy with removal of the ovarian cyst, later diagnosed as a focal MBT in a background of borderline Brenner tumor. Brenner tumors of the ovary are a rare subtype of ovarian neoplasm that accounts for less than 2% of all ovarian tumors. MBTs are even rarer, comprising less than 5% of all Brenner tumors. To our knowledge, this is the first reported case of an MBT incidentally found in a patient with DVT.
我们报告了一例73岁女性病例，该患者在因深静脉血栓形成（DVT）进行评估时偶然发现患有卵巢恶性布伦纳瘤（MBT）。患者表现为左腿肿胀、下肢溃疡不愈合、无力和麻木。影像学检查显示左附件区有一个大的多房囊性肿块，伴有钙化区域，向上腹部延伸至胆囊窝。患者接受了剖腹探查术，切除了卵巢囊肿，后来被诊断为交界性布伦纳瘤背景下的局灶性MBT。卵巢布伦纳瘤是卵巢肿瘤的一种罕见亚型，占所有卵巢肿瘤的不到2%。MBT更为罕见，占所有布伦纳瘤的不到5%。据我们所知，这是首例在DVT患者中偶然发现MBT的报告病例。
