Ovarian serous cystadenocarcinoma

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Abdominopelvic pain and progressive distention.

Patient Data

Age: 40 years
Gender: Female

Moderate free fluid was seen in the peritoneal cavity. Several peritoneal deposits as well as greater omental thickening were also present. A few lymph node were noted in region.

Size of uterus is larger than normal.
A cystic lesion with solid enhancing component was seen in right adnexa. 
An enlarged lymph node was seen in right internal iliac chain.

Pathology

The patient underwent total abdominal hysterotomy and bilateral salpingo oophorectomy and histopathology evaluation confirms ovarian high grade serous carcinoma.

Case Discussion

Ovarian serous cystadenocarcinoma is the malignant form of ovarian serous tumor, the most common type of ovarian epithelial tumor. It is the most common type of ovarian malignancy.

Increasingly, high-grade serous carcinoma and low-grade serous carcinoma are recognized as distinct tumor types rather than a spectrum of disease grade as implied by the nomenclature.

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