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Archives of Gynecology and Obstetrics

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01-03-2010 | Gynecologic Oncology

Malign mural nodules associated with serous ovarian tumor of borderline malignancy: a case report and literature review

Authors: Tayfun Gungor, S. Ozlem Altınkaya, Serap Akbay, Umıt Bılge, Leyla Mollamahmutoglu

Published in: Archives of Gynecology and Obstetrics | Issue 3/2010

Abstract

Background

Cystic tumors of ovary, whether benign, borderline, or malignant may be associated with mural nodule of various types, including sarcomas, sarcoma-like mural nodules (SLMN), and foci of anaplastic carcinoma. Cases of serous borderline ovarian tumor with mural nodules of mixed type are very rare.

Case

A 54-year-old woman referred with abdominal swelling. Imaging studies revealed a huge mass localized in pelvis and lower abdomen and grade 1–2 left renal hydronephrosis. Preoperative Ca-125 was 798 U/ml. In exploratory laparotomy there was a 16 cm mass adherent to lateral abdominal wall and intestines. Adhesiolysis and de-bulking surgery were performed including bilateral pelvic, para-aortic lymphadenectomy, appendectomy and omentectomy. Left ureter was found to be dilated because of the infiltration of distal part by the tumor, so distal ureteral resection and neoureterocystostomy were performed. Final pathology revealed borderline serous ovarian tumor with mural nodules which were consisted of SLMNs, multiple and sharply demarcated from the adjacent tumor, and sarcomatous nodules showing infiltrative appearance in metastatic regions. Mural nodules showed a positive reaction for vimentin and SMA but were negative for cytokeratin and also necrosis, hemorrhage, and 10–15 mitoses in 10 high power fields were noted. She had postoperative chemotherapy and follow-up is going on without metastases in her first year.

Conclusion

The existence of sarcomatous nodules combined with the SLMN necessitates a careful histologic analysis for treatment and the determination of prognosis. However, too few cases of mixed type mural nodules have been published to warrant a conclusion regarding their prognosis.

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Title: Malign mural nodules associated with serous ovarian tumor of borderline malignancy: a case report and literature review
Authors: Tayfun Gungor
S. Ozlem Altınkaya
Serap Akbay
Umıt Bılge
Leyla Mollamahmutoglu
Publication date: 01-03-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 3/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1180-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Malign mural nodules associated with serous ovarian tumor of borderline malignancy: a case report and literature review

Abstract

Background

Case

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case

Conclusion

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