Giant mucinous ovarian cystadenocarcinoma

Abstract

Mucinous cystadenosarcoma make 10% of ovarian cancers. They are among the largest ovarian tumors measuring up to 50cm in diameter. We want to show a case of a female patient aged 69 years, who was brought to surgery due to the large abdominal mass, abdominal growth noticed four months earlier, with prior weight loss. After CT examination of the abdomen, we found extremely distended abdominal cavity, filled with coarse grained content, with apparent suspicion of tumor of the abdomen of ovarian origin. During the surgery, the following operations were performed: extirpation of the cyst sized 80x80x80cm, right adnexectomy, partial resection of the uterus, the reconstruction of the right ureter with the previous placement of double J-stent, and the reconstruction of the anterior abdominal wall. The postoperative course was uneventful. Pathohisthological diagnosis confirmed cystadenocarcinoma mucinosum invasive partim inflammatum ovary, G1, pT1a. The tumor morphologically corresponded to multicystic, well-differentiated invasive mucinous adenocarcinoma with parts that have the characteristics of mucinous tumor with the border degree of malignancy. Since the diagnostic and therapeutic procedures did not elucidate the origin of the tumor mass, and gynecological-oncological principles were not respected in terms of radicalism, the patient was proposed a new surgical procedure that would imply a total hysterectomy and left adnexectomy, which was refused by the patient. Medical check-up after 12 months did not confirm disease recurrence.

Keywords

• ovarian cystadenocarcinoma
• mucynous
• giant