Ovarian adenosarcoma simulating a simple cyst in a young patient

  • Leonardo Gomes da Fonseca Department of Clinical Oncology - Instituto do Câncer do Estado de São Paulo – São Paulo/SP
  • Aloisio Felipe-Silva Anatomic Pathology Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP
  • Samanta Cabral Severino da Silva Department of Clinical Oncology - Instituto do Câncer do Estado de São Paulo – São Paulo/SP
  • Paulo Francisco Ramos Margarido Department of Gynecology - Hospital Universitário - Universidade de São Paulo, São Paulo/SP
  • Elias Abdo Filho Department of Clinical Oncology - Instituto do Câncer do Estado de São Paulo – São Paulo/SP
  • Paulo Marcelo Gehm Hoff Department of Clinical Oncology - Instituto do Câncer do Estado de São Paulo – São Paulo/SP
Keywords: Mixed Tumor, Mullerian, Ovarian Neoplasms, Neoplasm Staging, Therapeutics

Abstract

Müllerian adenosarcoma is a rare, mixed tumor that can occur throughout the female genital tract, but is most commonly found in the uterus. Ovarian adenosarcoma is rarer and has a poorer prognosis than uterine adenosarcoma. Data on the clinicopathological features of ovarian adenosarcoma are limited, and, due to its rarity, the management is controversial. The authors report a case of a 25-year-old patient who presented with recurrent abdominal pain. Sonography and laparotomy showed an ovarian cyst, and pathologic examination confirmed the diagnosis of cystic low-grade adenosarcoma. The patient remains free of recurrence 6 months after diagnosis. The authors call attention to the differential diagnosis of ovarian masses, especially in young patients, and to the lack of evidence on the management of this neoplasm in the literature.

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Published
2014-06-26
How to Cite
Fonseca, L., Felipe-Silva, A., Silva, S., Margarido, P., Abdo Filho, E., & Hoff, P. (2014). Ovarian adenosarcoma simulating a simple cyst in a young patient. Autopsy and Case Reports, 4(2), 55-60. https://doi.org/10.4322/acr.%y.82536
Section
Article / Clinical Case Report