One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin
We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2010-11-01
|
| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/322204 |
| _version_ | 1818669493017116672 |
|---|---|
| author | R. Seracchioli M. Mabrouk S. Solfrini S. Savelli G. Caprara C. Facchini E. Geraci S. Del Forno S. Venturoli |
| author_facet | R. Seracchioli M. Mabrouk S. Solfrini S. Savelli G. Caprara C. Facchini E. Geraci S. Del Forno S. Venturoli |
| author_sort | R. Seracchioli |
| collection | DOAJ |
| description | We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to be malignant. After thorough counseling, the patient underwent operative laparoscopy for excision of the para-ovarian mass with frozen section (FS) examination resulting in the diagnosis of a poorly differentiated adenocarcinoma. In this case, FS results allowed performing a comprehensive oncological staging, through a totally laparoscopic extrafascial hysterectomy, bilateral adnexectomy, total omentectomy, pelvic wall peritonectomy, and pelvic, parasacral and para-aortic lymphadenectomy. Final pathological and immunohistochemical results confirmed the diagnosis of FATWO. To our knowledge, this is the first case of FATWO managed entirely by a minimally invasive laparoscopic approach in a single surgical session. |
| first_indexed | 2024-12-17T06:53:05Z |
| format | Article |
| id | doaj.art-36431b6cb6eb4ede8c317edd2d8b285b |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-17T06:53:05Z |
| publishDate | 2010-11-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-36431b6cb6eb4ede8c317edd2d8b285b2022-12-21T21:59:31ZengKarger PublishersCase Reports in Oncology1662-65752010-11-013342843310.1159/000322204322204One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian OriginR. SeracchioliM. MabroukS. SolfriniS. SavelliG. CapraraC. FacchiniE. GeraciS. Del FornoS. VenturoliWe report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to be malignant. After thorough counseling, the patient underwent operative laparoscopy for excision of the para-ovarian mass with frozen section (FS) examination resulting in the diagnosis of a poorly differentiated adenocarcinoma. In this case, FS results allowed performing a comprehensive oncological staging, through a totally laparoscopic extrafascial hysterectomy, bilateral adnexectomy, total omentectomy, pelvic wall peritonectomy, and pelvic, parasacral and para-aortic lymphadenectomy. Final pathological and immunohistochemical results confirmed the diagnosis of FATWO. To our knowledge, this is the first case of FATWO managed entirely by a minimally invasive laparoscopic approach in a single surgical session.http://www.karger.com/Article/FullText/322204Adnexal massFrozen sectionsGynecological oncologyLaparoscopyMinimally invasive approachUltrasoundWolffian tumor |
| spellingShingle | R. Seracchioli M. Mabrouk S. Solfrini S. Savelli G. Caprara C. Facchini E. Geraci S. Del Forno S. Venturoli One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin Case Reports in Oncology Adnexal mass Frozen sections Gynecological oncology Laparoscopy Minimally invasive approach Ultrasound Wolffian tumor |
| title | One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin |
| title_full | One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin |
| title_fullStr | One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin |
| title_full_unstemmed | One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin |
| title_short | One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin |
| title_sort | one step laparoscopic management of a female adnexal tumor of wolffian origin |
| topic | Adnexal mass Frozen sections Gynecological oncology Laparoscopy Minimally invasive approach Ultrasound Wolffian tumor |
| url | http://www.karger.com/Article/FullText/322204 |
| work_keys_str_mv | AT rseracchioli onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT mmabrouk onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT ssolfrini onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT ssavelli onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT gcaprara onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT cfacchini onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT egeraci onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT sdelforno onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin AT sventuroli onesteplaparoscopicmanagementofafemaleadnexaltumorofwolffianorigin |