From: Ovarian mucinous tumors with mural nodules: immunohistochemical and molecular analysis of 3 cases
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age (yr) | 21 | 41 | 27 |
G & P | G0P0 | G1P1 | G0P0 |
Clinical presentation | abdominal enlargement for 6+ yr | pelvic mass for 9 yr | pelvic mass for 2 mo |
Surgery | ARSO, omentectomy, appendectomy, PLND | TAHBSO, omentectomy, PPLND | ALSO, omentectomy, appendectomy, removal of right ovarian cyst |
Tumor location | right ovary | left ovary | left ovary |
Tumor size | 20 × 20 × 19 cm | 11 × 10 × 9 cm | 40 × 30 × 25 cm |
Mural nodules (number, size) | 2 (4 × 5 × 5 cm and 3 × 1 × 0.8 cm) | 2 (3 cm and 5 cm in diameters) | multiple (1-4 cm in diameters) |
FIGO stage | Ia | IIa | Ia |
Pathological diagnosis | WDMAC with mural nodules of anaplastic carcinoma | MBT with focal AC and mural nodules of sarcoma with myxoid changes, no other specified | MBT with focal WDMAC and SLMNs |
Concurrent pathology | N | uterine adenomyosis; right OEC | N |
Adjuvant chemotherapy | PC*2 | TP*6 | N |
Follow up (time) | DOD (44mo) | lung metastasis (18mo); ANED (40mo) | ANED (13mo) |