Mucinous ovarian cystadenofibroma

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Left adnexal complex cystic lesion on transvaginal ultrasonography. Preoperative staging exam.

Patient Data

Age: 55 years
Gender: Female
  • In the left ovary a 75 x 65 x 55 mm cystic lesion is seen, showing enhancing internal septae and wall irregularity. 
  • Poorly defined hypodense lesion in the myometrium of the uterus, likely fibroid. 
  • About 15 mm hypodense cystic lesion in the cervix, in line with a Nabothian cyst.
  • Other: small liver and kidney cysts, focal deposit or third inflow in segment 4 of the liver. Morphological variant of the celiac trunk. 

Case Discussion

The left ovarian lesion was resected in toto, histopathology proved mucinous ovarian cystadenofibroma (intestinal subtype). 

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