A Case Report of Primary Ovarian Mucinous Adenocarcinoma treated at Dr. Akbar Niazi Teaching Hospital, Bara Kahu, Islamabad

  • Jahan Ara Saeed IMDC ,ISLAMABAD
Keywords: Mucinous ovarian carcinoma (MOC ), Staging laparotomy, Computerized tomography CT, Total abdominal hysterectomy with bilateral salpingo-oophorectomy, Carcinoma intraepithelial neoplasia (CIN), Carcinoembryonic antigen (CEA).

Abstract

Introduction: This is a case of a patient who had a history of grossly increasing abdominal distension for 6 months. The patient had no symptoms except pressure symptoms with a regular menstrual cycle. She initially was investigated as a case of abdominal distension and indigestion. With increasing size, the discomfort was the main symptom. She attended our Gynaecology Outpatient department and was diagnosed as a case of Large Ovarian mass. The first investigation performed was Pelvic ultrasound and Tumour markers and a Risk of malignancy index were calculated. Her Magnetic resonance imaging with contrast showed a large well encapsulated ovarian mass with no ascites and no metastasis. After getting all the investigations and discussion with the patient a Staging Laparotomy with Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed, The ureters were stented before laparotomy to avoid damage to the ureters during surgery. She was diagnosed as Stage 1-A at the time of surgery and had an uneventful recovery. Her histopathology report showed a unilateral Mucinous cystadenocarcinoma with negative peritoneal wash and omentum histopathology.

References

1. Frumovitz M, Schmeler KM, Malpica A, Sood AK, Gershenson DM. Unmasking the complexities of mucinous ovarian carcinoma. Gynecologic oncology. 2010 Jun 1;117(3):491-6. https://doi.org/10.1016/j.ygyno.2010.02.010
2. Hess V, A'hern R, Nasiri N, King DM, Blake PR, Barton DP, Shepherd JH, Ind T, Bridges J, Harrington K, Kaye SB. Mucinous epithelial ovarian cancer: a separate entity requiring specific treatment. Journal of clinical oncology. 2004 Mar 15;22(6):1040-4. DOI: 10.1200/JCO.2004.08.078
3. Mondal SK, Banyopadhyay R, Nag DR, Roychowdhury S, Mondal PK, Sinha SK. Histologic pattern, bilaterality and clinical evaluation of 957 ovarian neoplasms: A 10-year study in a tertiary hospital of eastern India. Journal of Cancer research and Therapeutics. 2011 Oct 1;7(4):433. DOI: 10.4103/0973-1482.92011
4. Zaino RJ, Brady MF, Lele SM, Michael H, Greer B, Bookman MA. Advanced stage mucinous adenocarcinoma of the ovary is both rare and highly lethal: a Gynecologic Oncology Group study. Cancer. 2011 Feb 1;117(3):554-62. https://doi.org/10.1002/cncr.25460
5. Sholi A, Martino MM, Pirigyi M, Rosenblum NG, Markman M, Peterson CS, Bradbury AR, Morris GJ. Mucinous adenocarcinoma of the ovary. InSeminars in oncology 2010 Aug 1 (Vol. 37, No. 4, pp. 314-320). WB Saunders. doi:10.1053/j.seminoncol.2010.06.013
6. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA: a cancer journal for clinicians. 2016 Jan;66(1):7-30. https://doi.org/10.3322/caac.21332
7. Shimada M, Kigawa J, Ohishi Y, Yasuda M, Suzuki M, Hiura M, Nishimura R, Tabata T, Sugiyama T, Kaku T. Clinicopathological characteristics of mucinous adenocarcinoma of the ovary. Gynecologic oncology. 2009 Jun 1;113(3):331-4. https://doi.org/10.1016/j.ygyno.2009.02.010
8. Khunamornpong S, Suprasert P, Pojchamarnwiputh S, Chiangmai WN, Settakorn J, Siriaunkgul S. Primary and metastatic mucinous adenocarcinomas of the ovary: evaluation of the diagnostic approach using tumor size and laterality. Gynecologic oncology. 2006 Apr 1;101(1):152-7. https://doi.org/10.1016/j.ygyno.2005.10.008
Published
2020-12-30
How to Cite
1.
Saeed J. A Case Report of Primary Ovarian Mucinous Adenocarcinoma treated at Dr. Akbar Niazi Teaching Hospital, Bara Kahu, Islamabad. JRMC [Internet]. 30Dec.2020 [cited 19Jan.2021];24(4):430-3. Available from: http://journalrmc.com/index.php/JRMC/article/view/1348
Section
Case Reports