Imaging of a rare case of an ovarian collision tumor between a giant cystadenoma and a fibroma in a postmenopausal woman
Keywords:
Ovarian Collision Tumor, Cystadenoma, Fibroma, Giant Ovarian CystAbstract
Ovarian collision tumors are rare and poorly documented in the scientific literature. Usually, the diagnosis is based on post-operative histopathological examination; hence the pre-operative radiological appearance is rarely documented. We report the first case of an ovarian collision tumor, well documented radiologically and histologically diagnosed after bilateral ovariectomy in a postmenopausal woman. Abdomen X-rays, a pelvic and transvaginal ultrasound, and a contrast abdomen CT were performed. Histological results diagnosed a bilateral cystadenoma, with the coexistence of fibroma on the left ovary. On the left side, the cystadenoma was giant.
References
Singhal N, Quilty S, George M, Davy M, Selva Nayagam S. A tale of two cancers: Collision presentation of ovarian carcinoma and lymphoma. Aust N Z J Obstet Gynaecol. 2009;49(2):232-234. doi:10.1111/j.1479-828X.2009.00974.x
Margioula-Siarkou C, Petousis S, Papanikolaou A, et al. Neoadjuvant chemotherapy in advanced-stage ovarian cancer – state of the art. Menopausal Rev. 2022;21(4):272-275. doi:10.5114/pm.2022.124018
Cîrstoiu MM, Sajin M, Secară DC, Munteanu O, Cîrstoiu FC. Giant ovarian mucinous cystadenoma with borderline areas: a case report. Romanian J Morphol Embryol Rev Roum Morphol Embryol. 2014;55(4):1443-1447. PMID: 25611279.
Mehboob M, Naz S, Zubair M, Kasi MA. Giant ovarian cyst--an unusual finding. J Ayub Med Coll Abbottabad JAMC. 2014;26(2):244-245. PMID: 25603687.
Abu Sulb A, Abu El Haija M, Muthukumar A. Incidental finding of a huge ovarian serous cystadenoma in an adolescent female with menorrhagia. SAGE Open Med Case Rep. 2016;4:2050313X1664575. doi:10.1177/2050313X16645755
Laganà AS, La Rosa VL, Palumbo MA, et al. The impact of stress urinary incontinence on sexual function and quality of life. Gazzetta Medica Ital Arch Sci Mediche. 2018;177(9). doi:10.23736/S0393-3660.17.03573-2
Rubin N, Cerentini TM, Schlöttgen J, et al. Urinary incontinence and quality of life in high-performance swimmers: An observational study. Health Care Women Int. Published online April 7, 2023:1-10. doi:10.1080/07399332.2023.2197861
Menahem S, Shvartzman P. Giant ovarian cyst mimicking ascites. J Fam Pract. 1994;39(5):479-481.
Madhu YC, Harish K, Gotam P. Complete resection of a giant ovarian tumour. Gynecol Oncol Case Rep. 2013;6:4-6. doi:10.1016/j.gynor.2013.05.001
Mikos T, Tabakoudis GP, Pados G, Eugenidis NP, Assimakopoulos E. Failure of ultrasound to diagnose a giant ovarian cyst: a case report. Cases J. 2009;2(1):6909. doi:10.4076/1757-1626-2-6909
De Lima SHM, Dos Santos VM, Darós AC, Campos VP, Modesto FRD. A 57-year-old Brazilian woman with a giant mucinous cystadenocarcinoma of the ovary: a case report. J Med Case Reports. 2014;8(1):82. doi:10.1186/1752-1947-8-82
Shahid M, Siddiqi A. Primary well differentiated neuroendocrine tumor of ovary collides with Mucinous borderline tumor in a postmenopausal female: a report of case and review of literature. Pathologica. 2017;109(4):375-378. PMID: 29449726.
Jayalakshmy PS, Poothiode U, Krishna G, Jayalakshmy PL. Ovarian Fibroma with Serous Cystadenoma—An Unusual Combination: A Case Report. Case Rep Obstet Gynecol. 2012;2012:1-3. doi:10.1155/2012/641085
Jung SE, Lee JM, Rha SE, Byun JY, Jung JI, Hahn ST. CT and MR Imaging of Ovarian Tumors with Emphasis on Differential Diagnosis. RadioGraphics. 2002;22(6):1305-1325. doi:10.1148/rg.226025033
Shopov S. A Collision between Fibroma and Serous Ovarian Cystadenoma Mimicking Carcinoma. Folia Med (Plovdiv). 2019;61(4):634-638. doi:10.3897/folmed.61.e47956
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