Mucinous Borderline Tumor with Carcinosarcoma Mural Nodule: A Case Report

Authors

  • Uma Bhatta Pathology
  • Nisha Sharma Tribhuvan University Teaching Hospital
  • Smritee Mahat National Academy of Medical Sciences, Kathmandu, Nepal

Keywords:

Mucinous Borderline tumor, Carcinosarcoma-like Mural nodule, Ovarian tumor

Abstract

Carcinosarcoma mural nodules arising from a mucinous ovarian neoplasm is a very rare neoplasm with only a few cases reported in the literature so far.  Diagnosis is based on clinical evaluation, radiological findings, and histopathological features in conjunction with immunostaining with specific markers. A 71-year-old woman was presented with a history of gradual onset of abdominal distension, nausea, and vomiting. A physical examination revealed a hard, palpable mass with mild tenderness in her right lower abdomen. USG and CT demonstrated a large complex mass in the ovary. The patient underwent left salpingo-oophorectomy. A case of mucinous borderline tumor with carcinosarcoma mural nodule was reported and staged as pT1c2Nx/FIGO Ic according to 8th edition AJCC on histopathological examination.

References

Kurman RJ, Carcangiu ML, Herrington CS, Young RH. (ed.) WHO Classification of Tumours of Female Reproductive Organs. 4th ed. Lyon, IARC; 2014.

Desouki MM, Khabele D, Crispens MA, Fadare O. Ovarian mucinous tumor with malignant mural nodules: dedifferentiation or collision. Int J Gynecol Pathol. 2015 Jan;34(1):19-24. doi: 10.1097/PGP.0000000000000105.

Graham A, Kazerouni H, Sur M. Ovarian Mucinous Borderline Tumor with Malignant Muralnodules : A Report of Two Cases. INTERVENTIONS IN GYNAECOLOGY AND WOMEN'S HEALTHCARE 2020;373–378. DOI: 10.32474/IGWHC.2020.04.000181

Chang JS, Chua CC, Lee CC. Borderline mucinous cystic ovarian tumor with mural nodules (carcinosarcoma). Ann Saudi Med. 2012 Jul-Aug; 32(4): 415–420. doi: 10.5144/0256-4947.2012.415

Gilks CB, Young RH, Clement PB. Ovarian Epithelial - Stromal Tumors. In: Mills SE, Greenson JK, Hornick, JL, Longacre TA, Reuter VE. (eds.) Sternberg's diagnostic surgical pathology 6th ed. Wolters Kluwer; 2015. p. 3727.

Allende DS, Drake RD, Chen L. Mural Nodules of Clear Cell Carcinoma in a Mucinous Borderline Tumor of the Ovary: A Case Report. Pathology Research International / 2010 / Article. https://doi.org/10.4061/2010/438534

Ghosh P, Saha K, Bhowmik S. Sarcoma-like mural nodule in a borderline mucinous tumor of the ovary: A rare entity. J Midlife Health. 2014 Oct-Dec; 5(4): 192–194. doi: 10.4103/0976-7800.145168

Makris GM, Battista MJ, Chrelias C. Ovarian carcinosarcoma: a case report, diagnosis, treatment and literature review. Hippokratia. 2015 Jul-Sep; 19(3): 256–259. PMCID: PMC4938474 PMID: 27418786

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Published

2022-08-31

How to Cite

1.
Bhatta U, Sharma N, Mahat S. Mucinous Borderline Tumor with Carcinosarcoma Mural Nodule: A Case Report. Journal of Karnali Academy of Health Sciences [Internet]. 2022Aug.31 [cited 2024Apr.28];5(2). Available from: https://jkahs.org.np/jkahs/index.php/jkahs/article/view/701

Issue

Vol. 5 No. 2 (2022): JKAHS; May-Aug Issue (14)

Section

Case report

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Copyright (c) 2022 Uma Bhatta, Nisha Sharma, Smritee Mahat

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