Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review
Retroperitoneum Mullerian neoplasms are extremely rare malignancies. We report a case of a 35-year-old woman who presented with a 12-year history of lower abdominal cystic lesion, presumed of renal origin and benign, as such was not followed for 10 years. Prior to pregnancy, the patient received add...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332200588X |
| _version_ | 1817999326533648384 |
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| author | Sara Azeem, DO Thaddeus M Yablonsky, MD Adam Kerestes, DO Nana Tchabo, MD |
| author_facet | Sara Azeem, DO Thaddeus M Yablonsky, MD Adam Kerestes, DO Nana Tchabo, MD |
| author_sort | Sara Azeem, DO |
| collection | DOAJ |
| description | Retroperitoneum Mullerian neoplasms are extremely rare malignancies. We report a case of a 35-year-old woman who presented with a 12-year history of lower abdominal cystic lesion, presumed of renal origin and benign, as such was not followed for 10 years. Prior to pregnancy, the patient received additional imaging and the lesion was again redemonstrated and questioned to be of ovarian origin. As such, the patient underwent laparoscopy for planned cystectomy and was found to have normal ovaries. After pregnancy, the lesion had increased in size and surgical excision revealed that the cystic mass was retroperitoneal in origin. The histopathology was reported as microinvasive mucinous adenocarcinoma with Mullerian origin. Positron emission tomographic scanning, colonoscopy, and endoscopy were unrevealing. Tumor markers were followed and follow-up scans demonstrated no recurrence.The preoperative diagnosis of primary retroperitoneal adenocarcinomas of Mullerian origin is difficult, and a definitive diagnosis cannot be made without postsurgical histopathological analysis. However, it is important for radiologists to recognize imaging features of this entity and include it in the differential diagnosis. Here we report a case and review imaging features reported for retroperitoneal primary adenocarcinomas of Mullerian origin. |
| first_indexed | 2024-04-14T03:07:11Z |
| format | Article |
| id | doaj.art-896fad47f80b4cfba7c7f06747a3d58a |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-14T03:07:11Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-896fad47f80b4cfba7c7f06747a3d58a2022-12-22T02:15:42ZengElsevierRadiology Case Reports1930-04332022-10-01171038103815Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology reviewSara Azeem, DO0Thaddeus M Yablonsky, MD1Adam Kerestes, DO2Nana Tchabo, MD3Corresponding author.; Morristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960, USAMorristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960, USAMorristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960, USAMorristown Medical Center, 100 Madison Avenue, Morristown, NJ 07960, USARetroperitoneum Mullerian neoplasms are extremely rare malignancies. We report a case of a 35-year-old woman who presented with a 12-year history of lower abdominal cystic lesion, presumed of renal origin and benign, as such was not followed for 10 years. Prior to pregnancy, the patient received additional imaging and the lesion was again redemonstrated and questioned to be of ovarian origin. As such, the patient underwent laparoscopy for planned cystectomy and was found to have normal ovaries. After pregnancy, the lesion had increased in size and surgical excision revealed that the cystic mass was retroperitoneal in origin. The histopathology was reported as microinvasive mucinous adenocarcinoma with Mullerian origin. Positron emission tomographic scanning, colonoscopy, and endoscopy were unrevealing. Tumor markers were followed and follow-up scans demonstrated no recurrence.The preoperative diagnosis of primary retroperitoneal adenocarcinomas of Mullerian origin is difficult, and a definitive diagnosis cannot be made without postsurgical histopathological analysis. However, it is important for radiologists to recognize imaging features of this entity and include it in the differential diagnosis. Here we report a case and review imaging features reported for retroperitoneal primary adenocarcinomas of Mullerian origin.http://www.sciencedirect.com/science/article/pii/S193004332200588XAdenocarcinomas of Mullerian originWomen's imagingRetroperitoneum Mullerian neoplasms |
| spellingShingle | Sara Azeem, DO Thaddeus M Yablonsky, MD Adam Kerestes, DO Nana Tchabo, MD Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review Radiology Case Reports Adenocarcinomas of Mullerian origin Women's imaging Retroperitoneum Mullerian neoplasms |
| title | Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review |
| title_full | Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review |
| title_fullStr | Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review |
| title_full_unstemmed | Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review |
| title_short | Retroperitoneal primary adenocarcinoma of Mullerian origin: case report with radiology review |
| title_sort | retroperitoneal primary adenocarcinoma of mullerian origin case report with radiology review |
| topic | Adenocarcinomas of Mullerian origin Women's imaging Retroperitoneum Mullerian neoplasms |
| url | http://www.sciencedirect.com/science/article/pii/S193004332200588X |
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