Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature

Brenner tumors (BTs) are surface-epithelial stromal cell tumors that are categorized by the World Health Organization as benign, borderline, and malignant. Due to the rarity of BTs, the published literature on these tumors is comprised primarily of case reports and small retrospective studies. We pe...

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Main Authors: Ferial Alloush, Hisham F. Bahmad, Brendan Lutz, Robert Poppiti, Monica Recine, Sarah Alghamdi, Larry E. Goldenberg
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3271/11/1/18
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author Ferial Alloush
Hisham F. Bahmad
Brendan Lutz
Robert Poppiti
Monica Recine
Sarah Alghamdi
Larry E. Goldenberg
author_facet Ferial Alloush
Hisham F. Bahmad
Brendan Lutz
Robert Poppiti
Monica Recine
Sarah Alghamdi
Larry E. Goldenberg
author_sort Ferial Alloush
collection DOAJ
description Brenner tumors (BTs) are surface-epithelial stromal cell tumors that are categorized by the World Health Organization as benign, borderline, and malignant. Due to the rarity of BTs, the published literature on these tumors is comprised primarily of case reports and small retrospective studies. We performed a pathology database review spanning the last ten years at our institution revealing nine reported benign BTs. We collected the clinical and pathological data of patients associated with those BTs, describing the clinical presentation and imaging results, and assessing the possible risk factors associated with them. The average age at diagnosis was 58 years. BTs were discovered incidentally in 7/9 cases. The tumor was multifocal and bilateral in 1/9 cases and ranged in size from 0.2 cm to 7.5 cm. Associated Walthard rests were found in 6/9 cases and transitional metaplasia of surface ovarian and/or tubal epithelium was found in 4/9 cases. One patient had an associated mucinous cystadenoma in the ipsilateral ovary. Another patient had an associated mucinous cystadenoma in the contralateral ovary. In conclusion, we found that Walthard rests and transitional metaplasia are common findings in association with BTs. Additionally, pathologists and surgeons need to be aware of the association between mucinous cystadenomas and BTs.
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spelling doaj.art-25c5f5bca3b14887b87ded466cf1515e2023-11-17T12:33:51ZengMDPI AGMedical Sciences2076-32712023-02-011111810.3390/medsci11010018Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the LiteratureFerial Alloush0Hisham F. Bahmad1Brendan Lutz2Robert Poppiti3Monica Recine4Sarah Alghamdi5Larry E. Goldenberg6Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USAArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USADepartment of Obstetrics and Gynecology, Mount Sinai Medical Center, Miami Beach, FL 33140, USAArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USAArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USAArkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL 33140, USADepartment of Obstetrics and Gynecology, Mount Sinai Medical Center, Miami Beach, FL 33140, USABrenner tumors (BTs) are surface-epithelial stromal cell tumors that are categorized by the World Health Organization as benign, borderline, and malignant. Due to the rarity of BTs, the published literature on these tumors is comprised primarily of case reports and small retrospective studies. We performed a pathology database review spanning the last ten years at our institution revealing nine reported benign BTs. We collected the clinical and pathological data of patients associated with those BTs, describing the clinical presentation and imaging results, and assessing the possible risk factors associated with them. The average age at diagnosis was 58 years. BTs were discovered incidentally in 7/9 cases. The tumor was multifocal and bilateral in 1/9 cases and ranged in size from 0.2 cm to 7.5 cm. Associated Walthard rests were found in 6/9 cases and transitional metaplasia of surface ovarian and/or tubal epithelium was found in 4/9 cases. One patient had an associated mucinous cystadenoma in the ipsilateral ovary. Another patient had an associated mucinous cystadenoma in the contralateral ovary. In conclusion, we found that Walthard rests and transitional metaplasia are common findings in association with BTs. Additionally, pathologists and surgeons need to be aware of the association between mucinous cystadenomas and BTs.https://www.mdpi.com/2076-3271/11/1/18Brenner tumorovaryWalthard restsmucinous cystadenomacase series
spellingShingle Ferial Alloush
Hisham F. Bahmad
Brendan Lutz
Robert Poppiti
Monica Recine
Sarah Alghamdi
Larry E. Goldenberg
Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
Medical Sciences
Brenner tumor
ovary
Walthard rests
mucinous cystadenoma
case series
title Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
title_full Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
title_fullStr Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
title_full_unstemmed Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
title_short Brenner Tumor of the Ovary: A 10-Year Single Institution Experience and Comprehensive Review of the Literature
title_sort brenner tumor of the ovary a 10 year single institution experience and comprehensive review of the literature
topic Brenner tumor
ovary
Walthard rests
mucinous cystadenoma
case series
url https://www.mdpi.com/2076-3271/11/1/18
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