Borderline serous ovarian neoplasm: case report of a diagnostic challenge in intraoperative frozen sections.

Borderline tumor Complex ovarian mass Cystadenofibroma Frozen section

Journal

Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 07 04 2020
revised: 09 05 2020
accepted: 11 05 2020
entrez: 29 5 2020
pubmed: 29 5 2020
medline: 29 5 2020
Statut: epublish

Résumé

Surface epithelial tumors of the ovary account for 25% of all ovarian neoplasms. When composed predominantly of fibrous stroma, with glands and cysts forming a minor component, their appearance on imaging is often complex; cystic- to solid-appearing masses often raise suspicion of a malignant tumor. An accurate frozen histopathological diagnosis of a benign cystadenofibroma of this tumor can facilitate appropriate surgical management. However, it is equally important to diagnose areas of borderline changes/malignancy arising in these tumors, particularly when large or complex surface and inner papillary areas with multilayering or stratification are seen microscopically. We present here a case of bilateral complex ovarian mass in a 68-year-old woman, which was equivocal for malignancy on radiology, per operative gross examination as well as on frozen section evaluation. It was finally diagnosed as a borderline serous tumor (BOT) in a cystadenofibroma on histopathological examination.

Identifiants

pubmed: 32461918
doi: 10.1016/j.crwh.2020.e00219
pii: S2214-9112(20)30049-7
pii: e00219
pmc: PMC7242860
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00219

Informations de copyright

© 2020 The Authors.

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Auteurs

Farah Rana (F)

Department of Pathology, Tata Main Hospital, Jamshedpur, 831001, Jharkhand, India.

M Mishra (M)

Department of Pathology, Tata Main Hospital, Jamshedpur, 831001, Jharkhand, India.

K Saha (K)

Department of Pathology, Tata Main Hospital, Jamshedpur, 831001, Jharkhand, India.

Radhika Narayan (R)

Department of Pathology, Tata Main Hospital, Jamshedpur, 831001, Jharkhand, India.

Classifications MeSH