Borderline ovarian tumors, or tumors of low malignant potential, are neoplasms of good prognosis that affect mostly patients of reproductive age. They account for 15% of all epithelial ovarian neoplasms and they are managed with surgical cytoreduction. Conservative surgery may be considered in patients who desire fertility preservation. Here we report on a patient who presented with vague abdominal symptoms and was diagnosed with large bilateral borderline tumors, of 18 and 15 cm in size. She underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy and epiplectomy and received adjuvant chemotherapy. Borderline ovarian tumors are a pathologic entity the gynaecologist should be well acquainted with.
Leiomyomas account for a large part of benign gynecologic surgery. Several approaches have been implemented, each with its benefits and drawbacks. The aim of this study is to present a case of a complicated post-operative course after leiomyoma surgery. We present on a 39-year-old (gravida 0 and para 0) patient who was operated on for multiple leiomyomas and had to undergo two reoperations due to post-operative bowel complications. Leiomyomas represent a common indication for gynecologic surgery. The gynecologic surgeon needs to be familiar with the possible complications since early diagnosis is of great importance.
Pneumatosis cystoides-like pattern is a group of histopathological features occasionally found in ovarian teratomas. This is a case of laparoscopic ovarian cystectomy performed for incomplete adnexal torsion where histology reported mature ovarian teratoma with “pneumatosis cystoides-like appearance”. This term is used to describe the presence of multiple cystic spaces within the tumor wall. It has been reported also in other organs, such as gastrointestinal tract, urinary bladder and the vagina. It may be secondary to mechanical, bacterial or ischemic causes, with the pathogenesis remaining unclear. It is benign and may exist more often than reported.
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