Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants
Herein, we are presenting a case of a 33-year-old woman who presented to the emergency department complaining of persistent lower abdominal pain of one-day duration. Physical examination revealed abdominal tenderness with right lower quadrant rebound tenderness. Computed tomography abdomen/pelvis sh...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2023-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2023/4845887 |
| _version_ | 1797803065602998272 |
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| author | Melissa Bou Malham Jordy Mehawej Andreas Filippaios Christina Kushnir Paulette Mhawech-Fauceglia |
| author_facet | Melissa Bou Malham Jordy Mehawej Andreas Filippaios Christina Kushnir Paulette Mhawech-Fauceglia |
| author_sort | Melissa Bou Malham |
| collection | DOAJ |
| description | Herein, we are presenting a case of a 33-year-old woman who presented to the emergency department complaining of persistent lower abdominal pain of one-day duration. Physical examination revealed abdominal tenderness with right lower quadrant rebound tenderness. Computed tomography abdomen/pelvis showed a 6 cm possible necrotic mass of the left ovary with moderate amount of complex ascites. A laparoscopic left oophorectomy with bilateral salpingectomy, right ovarian biopsy, and appendectomy were performed without complications. The cut surface of the left ovary showed a 9.7 cm×8 cm×4 cm ovarian mass, and the cut surface revealed multiple gray-tan friable papillary excrescence. Microscopic evaluation showed findings consistent with left and right ovarian serous borderline tumor (SBT). Subsequently, a tumor staging was conducted with total laparoscopic hysterectomy, pelvic and periaortic lymph node dissection, and omentectomy. The endometrium sections showed several small foci of SBT within the endometrial stroma, consistent with non-invasive implants of the endometrium. The omentum and lymph nodes were all negative for malignancy. SBTs associated with endometrial implants are very rare with only one case reported in the literature. Their existence can cause diagnostic challenges, and they should be acknowledged for early diagnosis and to plan for patient’s treatment and outcome. |
| first_indexed | 2024-03-13T05:16:15Z |
| format | Article |
| id | doaj.art-809380fafcb24dcf96f6ddb1f87363fb |
| institution | Directory Open Access Journal |
| issn | 2090-6692 |
| language | English |
| last_indexed | 2024-03-13T05:16:15Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj.art-809380fafcb24dcf96f6ddb1f87363fb2023-06-16T00:00:02ZengHindawi LimitedCase Reports in Obstetrics and Gynecology2090-66922023-01-01202310.1155/2023/4845887Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial ImplantsMelissa Bou Malham0Jordy Mehawej1Andreas Filippaios2Christina Kushnir3Paulette Mhawech-Fauceglia4Department of MedicineDepartment of MedicineDepartment of MedicineDepartment of Gynecologic OncologyDepartment of Anatomic PathologyHerein, we are presenting a case of a 33-year-old woman who presented to the emergency department complaining of persistent lower abdominal pain of one-day duration. Physical examination revealed abdominal tenderness with right lower quadrant rebound tenderness. Computed tomography abdomen/pelvis showed a 6 cm possible necrotic mass of the left ovary with moderate amount of complex ascites. A laparoscopic left oophorectomy with bilateral salpingectomy, right ovarian biopsy, and appendectomy were performed without complications. The cut surface of the left ovary showed a 9.7 cm×8 cm×4 cm ovarian mass, and the cut surface revealed multiple gray-tan friable papillary excrescence. Microscopic evaluation showed findings consistent with left and right ovarian serous borderline tumor (SBT). Subsequently, a tumor staging was conducted with total laparoscopic hysterectomy, pelvic and periaortic lymph node dissection, and omentectomy. The endometrium sections showed several small foci of SBT within the endometrial stroma, consistent with non-invasive implants of the endometrium. The omentum and lymph nodes were all negative for malignancy. SBTs associated with endometrial implants are very rare with only one case reported in the literature. Their existence can cause diagnostic challenges, and they should be acknowledged for early diagnosis and to plan for patient’s treatment and outcome.http://dx.doi.org/10.1155/2023/4845887 |
| spellingShingle | Melissa Bou Malham Jordy Mehawej Andreas Filippaios Christina Kushnir Paulette Mhawech-Fauceglia Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants Case Reports in Obstetrics and Gynecology |
| title | Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants |
| title_full | Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants |
| title_fullStr | Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants |
| title_full_unstemmed | Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants |
| title_short | Bilateral Ovarian Serous Borderline Tumor with Non-Invasive Endometrial Implants |
| title_sort | bilateral ovarian serous borderline tumor with non invasive endometrial implants |
| url | http://dx.doi.org/10.1155/2023/4845887 |
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