Mucinous cystadenocarcinoma ovary presented as giant pelvic abdominal Mass

Kshirsagar

Int J Reprod Contracept Obstet Gynecol

et al. 2019

Background: Teratomas are belonging to a group of germ cell tumors. It is also referred to as dermoid cyst. Teratomas are most common germ cell tumor of the ovary. Teratomas are composed of various histological types. In this article we are presenting various morphological patterns, its clinical manifestation and its clinical significance. Methods: This is prospective study for a period of 3 years from March 2016 to February 2019 at tertiary care hospital. It consists of total evaluation of 82 cases of ovarian lesions which were surgically excised for clinically or radiologically suspected of ovarian neoplasm. Results: A total of 82 cases of ovarian specimen were included out of which 18 cases were of ovarian teratoma. In these 17 cases were benign teratomas, 1 case of immature teratoma. All the cases of mature teratoma were predominantly of cystic type with focal solid areas. Right sided ovary was involved in44.5% cases while left sided in 55.5% cases. The tumor size ranges from 2.5 cm to 20.8 cms. The age range in this study was from 20 to 60 year. The common age observed for ovarian teratoma was in group of 31-40 years, having 6 cases. The clinically most of cases were asymptomatic or presented with unexplained abdominal pain or palpable mass. USG finding in most of cases were diffuse or partial echogenic mass lesion with cystic nature and echogenic bands. Conclusions: In our study showed mature cystic teratoma is the most common type of ovarian teratomas. The immature and monodermal types are rare. The histopathological examination plays important role in final diagnosis and patient management.

Section: Discussionmentioning

confidence: 99%

Ovarian teratomas: clinicopathological study at tertiary care center

Kshirsagar

Int J Reprod Contracept Obstet Gynecol

et al. 2019

“…Previous studies have reported on large mucinous ovarian tumors although rarely have they approached the size of the patient in the current study. Jagtap et al documented the management of a 26 cm mucinous cystadenocarcinoma of the ovary that weighed 9.5 kg [1]. Similarly, Forster et al [7] recounted their experience with a 26-cm, borderline mucinous ovarian tumor that was 3.9 kg.…”

Section: Discussionmentioning

confidence: 99%

“…However, when these neoplasms are considerably large, they are increasingly difficult to manage due to the attendant risk for cardiovascular and intraoperative complications [2,8]. Ultimately, since primary mucinous ovarian neoplasms may occasion significant diagnostic and clinical difficulties, histopathology is essential to determining the appropriate therapy for this disease [1]. Additional investigation that further evaluates the precise manner on which to diagnose and treat mucinous ovarian carcinomas is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…Mucinous tumors exhibit intracytoplasmic mucin and originate from surface epithelium and stroma [1]. These lesions are composed of distinct, histologic variants, including benign mucinous cystadenoma, mucinous tumors of low malignant potential, and invasive mucinous carcinoma [2].…”

Section: Introductionmentioning

confidence: 99%

“…Mucinous ovarian malignancies can be decidedly large at presentation and occupy the entire abdominopelvic cavity [1,2,6,7]. Select reported cases have documented lesion sizes ranging from 22-26 cm in diameter, some of which exceeded 15 kg [8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Primary management of an extremely large, invasive mucinous ovarian adenocarcinoma: a case report

Abaid¹,

Zekry²,

Ronaghi³

et al. 2019

EJGO

Background: Mucinous tumors are typically benign lesions, although they can be aggressive and exhibit stromal invasion. Moreover, studies have reported on extremely large mucinous ovarian malignancies that have infiltrated the abdomen and pelvis. Case Report:The authors describe the history of a 52-year-old woman who presented with a 40-cm mucinous ovarian neoplasm that weighed nearly 22 kg. Initially, confirming the diagnosis was complicated and thus, immunohistochemistry (e.g., pancytokeratin, p53, PAX 8, and CK7) staining was indicated. Conclusion: Mucinous ovarian tumors are often associated with a favorable prognosis, but when they are extremely large, disease management can be relatively precarious because of the potential for cardiovascular and intraoperative complications. Since there is some difficulty in assessing large mucinous tumors, immunohistochemistry staining and judicious clinical judgment are essential.

Myxopapillary ependymoma of the spinal cord: A case with literature review

Sarkar,

Jagtap,

Jagtap

et al. 2024

IJPO

Myxopapillary ependymoma is a rare spinal cord tumors. The intramedullary myxopapillary ependymomas are. Herewith case of a 41-year-old male complaint of a nonspecific low back pain, progressive inability to bend, right lower limb pain with numbness of six month duration. On clinical evaluation right lower limb weakness was noted while the sensations were normal. There was no any significant past history. MRI lumbo-sacral spine with whole spine screening was performed. It showed lobulated heterogenous intensity enhancing intra medullary mass lesion in thecal sac extending from L4-L5 to S1-S2 level. It measured about 52 x 28 x 21 mm. MRI features suggestive of neoplasm – ependymoma was made. The gross total surgical resection was performed. On histopathological findings reported as myxopapillary ependymoma grade 2. The tumor on immunohistochemistry showed positive for EMA, GFAP. While negative for CMYC. The Ki-67 proliferation index (MIB1) was 3%. On follow up there was no tumor recurrence. Rehabilitation therapy was initiated and follow up is advised.