Unexpected borderline ovarian tumours (BOT) in late pregnancy: challenges in management and review of literature

2020 ◽  
Vol 13 (12) ◽  
pp. e237970
Author(s):  
Elizabeth Ande ◽  
Silky Jain ◽  
Schahrazed Rouabhi ◽  
Wai Yoong
Keyword(s):  
Elective Caesarean Section ◽  
Mucinous Cystadenoma ◽  
Late Pregnancy ◽  
Ovarian Tumour ◽  
Serous Cystadenoma ◽  
Reproductive Age ◽  
Third Trimester ◽  
Borderline Ovarian Tumour ◽  
Younger Women ◽  
Ovarian Tumours

This case report describes a right-sided borderline ovarian tumour diagnosed unexpectedly following suspected torsion in the third trimester of pregnancy. The patient had had a right mucinous cystadenoma and left serous cystadenoma in her previous pregnancy and underwent bilateral ovarian cystectomy at the time of her first elective caesarean section. The management of borderline ovarian tumours is generally difficult in younger women of reproductive age and is made more complex by pregnancy. The authors share the challenges of managing this condition in pregnancy together with a review of the literature.

Giant fibroepithelial vulvar polyp in a pregnant woman

2021 ◽  
Vol 14 (1) ◽  
pp. e236106
Author(s):  
Carolina Smet ◽  
Tatiana Gigante Gomes ◽  
Lurdes Silva ◽  
Júlio Matias
Keyword(s):  
Pregnant Woman ◽  
Elective Caesarean Section ◽  
Reproductive Age ◽  
Benign Lesions ◽  
Third Trimester ◽  
Women Of Reproductive Age ◽  
Spontaneous Bleeding ◽  
The Third ◽  
Fibroepithelial Polyps ◽  
The Right

Fibroepithelial polyps are benign lesions that may appear in the vulvovaginal region. They usually occur in women of reproductive age and tend to grow up to 5 cm, but there are some rare cases in which they grow up to 20 cm. We report a case of a 22-year-old woman in the third trimester of her first pregnancy with spontaneous bleeding from a pedunculated mass measuring 15 cm in the widest diameter on the right side of the vulva. Features of this case are discussed as well as its implications, especially regarding the decision of labour. Due to the big size of the mass and its propensity to bleed, we decided to perform an elective caesarean section as well as its excision.

scholarly journals A clinico-histopathological review of ovarian masses at a tertiary care centre

2018 ◽  
Vol 7 (10) ◽  
pp. 4139
Author(s):  
Michelle N. Fonseca ◽  
Madhavi J.
Keyword(s):  
Tertiary Care ◽  
Young Patients ◽  
Mucinous Cystadenoma ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Benign Ovarian Tumours ◽  
Ovarian Tumours ◽  
Ovarian Masses

Background: Ovarian tumours can be seen at all stages of life but they differ in type, being mostly germ cell tumours in childhood, functional cysts in the reproductive age group (up to 45 years) and becoming increasingly malignant towards and after menopause. It also accounts for most prevalent cause of hospital admissions.Methods: This is a retrospective study conducted in the Department of Obstetrics and Gynaecology at a tertiary care hospital in Mumbai from August 2017 to August 2018. All patients with ovarian masses who were surgically managed were included in the study. The data of 30 patients was collected in excel sheet and analyzed by descriptive statistics.Results: Out of the 30 ovarian masses, 50 % were functional cysts, 46.6% were benign ovarian masses and 3.3% were borderline malignant. 46% of tumours were seen in the age group 21-30 years. More than 50 % tumours were seen in parous women. Most common presenting clinical symptom was pain in abdomen irrespective of the type of tumour. Most common complication was haemorrhage in the cyst. Laparoscopy was done in 4 patients and 26 required exploratory laparotomy. Most common surgery performed was unilateral cystectomy for functional ovarian cysts and benign ovarian tumours. Mucinous cystadenoma was the most common benign ovarian tumour, followed by dermoid cyst.Conclusions: Pre-operative diagnostic approach to a patient with ovarian mass includes careful history taking, thorough clinical examination, ultrasound and tumour marker assays in selected cases. Conservative surgery should be the goal to preserve fertility in young patients with ovarian tumours.

scholarly journals RETROSPECTIVE STUDY OF OVARIAN TUMORS AND TUMOR LIKE LESIONS

1969 ◽  
Vol 3 (1) ◽  
pp. 276-281
Author(s):  
NASIM AKHTAR
Keyword(s):  
Germ Cell ◽  
Mucinous Cystadenoma ◽  
Malignant Tumour ◽  
Serous Cystadenoma ◽  
Histological Type ◽  
Germ Cell Tumours ◽  
Neoplastic Lesion ◽  
Significant Difference ◽  
Ovarian Tumours ◽  
Operative Findings

Objective: To find frequency of various Neoplastic and non-neoplastic lesion of the ovaries and to analyzeits clinical presentation.Method: This study was conducted from first July 2007 to 30lh June 2010 in Gynae unit B of DHQ Mardan.All the cases of ovarian Tumours which were initially recruited after ultrasonography and were laterconfirmed by open surgery were included in the study Patients record files were used for collection ofrelevant data including detailed history, examination, investigations and operative findings. All thespecimens were sent for histopathology diagnosis to histopathology section lady reading hospital and a copyof report was attached in patients record files.Result: Out of 7574 Gynanocological admission 191 cases (2.5%) of ovarian Tumours were detected. Nonneo-plastic lesion were more common 98 (51.31%) than neoplastic lesion 93 (48.69%). Among theneoplastic lesion 69.89% were benign while 30% were malignant, serous cystadenoma were the commonestbenign Tumours (35.48%) followed by mucinous cystadenoma (21.50%). Serous cyst adenocarcinoma(10.75%) was the commonest malignant Tumour followed by mucinous cystadenomcarcinoma (8.6%).Average age at presentation was 57 years for malignant ephithelial Tumours, 40 years for gonadal stromalTumours and 22.5 % for germ cell Tumours. There was significant difference in the mean age for benign andmalignant ovarian tumours(34 versus52 p =0.0001)Conclusion:Epithelial ovarian Tumours are the commonest Tumours followed by Germ cell Tumours. Agehas strong correlation with the histological type of the Tumour. Grade, histological type and age of thepatient are important prognostic factors. Ultrasound assessment of risk of malignancy favours better patientmanagement. Menstrual irregularities ,mass and pain abdomen were the commonest clinical presentations.Keywords: Ovarian Tumours, Ovarian neoplasm, Ovarian non-neoplastic lesion.

scholarly journals Borderline ovarian tumour of mixed seromucinous histology and bilateral presentation: a case report and review of literature

2020 ◽  
Vol 8 (3) ◽  
pp. 1172
Author(s):  
Monika Anant ◽  
Sutapan Samanta ◽  
Ruchi Sinha
Keyword(s):  
Correct Diagnosis ◽  
Ovarian Tumour ◽  
Review Of Literature ◽  
Lower Abdomen ◽  
Medical Specialties ◽  
Borderline Ovarian Tumour ◽  
Bilateral Presentation ◽  
Ovarian Tumours ◽  
Ovarian Masses

This article reports the case of a 40 year old woman who presented to the gynaecologic outpatient clinic with pain lower abdomen and an abdominopelvic lump. Clinical assessment, biochemical and radiological investigations revealed bilateral complex ovarian masses. Surgical exploration and histology of ovarian masses confirmed a rare bilateral borderline seromucinous cystadenoma. The purpose of this paper is to highlight the importance of thorough examination of women with symptoms of ovarian tumour which can be vague and to emphasize the necessity of a good collaboration between various medical specialties (primary physician/gynaecologist, oncosurgeon, radiologist and histopathologist) for correct diagnosis, optimum care and best outcome. This article also provides overview of the pathology and biology of borderline ovarian tumours, diagnosis, principles of surgical management and to appreciate the value of follow up.

An Overview of Ovarian Tumours at B.P. Koirala Memorial Cancer Hospital, Nepal

2019 ◽  
Vol 3 (1) ◽  
pp. 44-48
Author(s):  
Chin Bahadur Pun ◽  
Sadina Shrestha ◽  
Ranjan Raj Bhatta ◽  
Greta Pandey ◽  
Suraj Uprety ◽  
...  
Keyword(s):  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Serous Cystadenoma ◽  
Serous Cystadenocarcinoma ◽  
Cancer Hospital ◽  
Benign Ovarian Tumours ◽  
Serous Cystadenomas ◽  
Ovarian Tumours ◽  
Epithelial Tumours ◽  
Yolk Sac Tumour

Introduction: Ovarian cancer is the seventh most commonly diagnosed cancer among women in the world. This study was conducted with the aim to find out different histological types of ovarian tumours reported at B.P. Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal. Methods: This was a retrospective study carried out at the Department of Pathology of BPKMCH from January 1, 2018 to December 31, 2018. This study included the patients who were operated at BPKMCH or referred cases from elsewhere, but the specimen was processed and reported at BPKMCH. All the data were retrieved and analyzed from the records of Pathology Department. Results: Altogether 87 cases of ovarian tumours were reported during the study period. Out of which, 31 cases were benign ovarian tumours whereas 56 cases were malignant ovarian tumours. Both benign and malignant ovarian tumours were most common in age group 41 to 50 years of age. Among benign ovarian tumours, 12 cases were serous cystadenoma, 7 cases mucinous cystadenoma, 6 cases mature cystic teratoma, 2 cases serous cyst adenofibroma, 2 cases benign Brenner tumour and 2 endometroid cystadenoma. Among malignant ovarian tumours, 33 cases were serous cystadenocarcinoma, 11 cases mucinous cystadenocarcinoma, 2 cases immature teratoma, 3 cases were malignant sex cord stromal tumours (granulosa cell tumour), 2 cases dysgerminoma, 1 case yolk sac tumour, 1 case endometroid carcinoma and 3 cases were metastatic adenocarcinoma. Conclusion: Surface epithelial tumours were most common ovarian tumours in this study. Serous cystadenomas were most common benign ovarian tumours whereas serous cystadenocarcinomas were the most common malignant ovarian tumours.  

scholarly journals Relationship of Age and Different Histological Types of Ovarian Tumors

2020 ◽  
Vol 32 (2) ◽  
pp. 99-105
Author(s):  
Shahnaz Begum ◽  
Ferdousi Begum ◽  
Nasimul Gani ◽  
Farhana Rahman ◽  
Farhana Israt Jahan
Keyword(s):  
Ovarian Tumour ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Menopausal Woman ◽  
Adult Women ◽  
Histological Types ◽  
Benign Ovarian Tumours ◽  
Ovarian Tumours ◽  
The Difference ◽  
Relationship Of

Background: Ovarian tumours are common problem in gynaecology and have varied age of appearance of different histopathological types. Objective: This study was undertaken to find out the relationship of age and different histological types of ovarian tumors Methods: A retrospective study was carried out in the Department of Obstetrics and Gynaecology and Department of Pathology, Sir Salimullah Medical College and Mitford Hospital, Dhaka, during May 2010 and December 2014. Five hundred forty seven (547) cases of ovarian tumours were studied in respect to their age and histopathological appearance. Results: The range of age of patients with ovarian tumour was 11 – 82 years. About 63% malignant and 73% benign ovarian tumours were found in the age group of 20 – 49 yrs. About 31% malignant ovarian tumours and 15% Benign tumours occurred in menopausal woman (≤50 yrs.). Overall, mean age of presentation of ovarian tumours was 34.29± 12.84 yrs. Mean age of patients with malignant ovarian tumour was 40.29± 14.28 (median 40 yrs; mode 45 yrs.). Mean age of benign ovarian tumour was 34.69 ± 13.08 (median 34 yrs; mode 40yrs) and mean age for borderline tumours 32.75 ± 11.70 mm (median 33 yrs., mode 20 yrs.). Mean age of non tumour ovarian masses / cysts was 31.14± 10.76 yrs (median 29.5; mode 25.4). The difference of mean age of occurance of malignant and benign ovarian tumours were statistically significant P<0.00>. Dysgerminoma (mean age 23.5± 4.43) and yolk sac tumour (mean age 18 .00 ± 5.00 yrs) occurred in younger patients. Serous cyst adenocarcinoma, endometriod carcinoma and poorly differentiated carcinoma occurred around 45 years of age. Mean age of presentation of most of the benign ovarian tumours was between 30 – 37 yrs.; except thecoma which occurred in extremes of age. Conclusion: Most of the patients with malignant and benign ovarian tumours have presented in reproductive age adult women (20 – 49 yrs.); and some specific varieties of tumour (e.g. thecoma) presented in the extremes of age. Bangladesh J Obstet Gynaecol, 2017; Vol. 32(2) : 99-105

scholarly journals Immature teratoma with a rare finding of choroid plexus

2021 ◽  
Vol 9 (10) ◽  
pp. 3179
Author(s):  
Mehak Kashyap ◽  
Neelam Gupta ◽  
Vikas Dubey ◽  
Nechal Kaur
Keyword(s):  
Young Women ◽  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Ovarian Tumour ◽  
Serous Cystadenoma ◽  
Immature Teratoma ◽  
Rare Tumour ◽  
Rare Finding ◽  
Ovarian Tumours ◽  
Grade 3

Mature cystic teratoma of the ovary is the most common ovarian tumour in young women. Immature teratoma is a very rare tumour, representing only 1% of all ovarian cancers. Paediatric ovarian tumours are rare, with a reported incidence rate of 2.2/100,000 in girls aged 0 to 15 years. In the case report presented here, was 12-year-old suspected to have serous cystadenoma of ovary based on CT scan, which was ultimately diagnosed with immature teratoma grade 3 after histopathological examination was done.

scholarly journals Clinicopathological analysis of ovarian tumors: a two year retrospective study

2019 ◽  
Vol 8 (8) ◽  
pp. 3015
Author(s):  
Kanika Chandra ◽  
Neetu Arora
Keyword(s):  
Age Distribution ◽  
Germ Cell Tumors ◽  
Ovarian Tumour ◽  
Serous Cystadenoma ◽  
Good Prognosis ◽  
Ovarian Tumors ◽  
Malignant Tumours ◽  
Ovarian Tumours ◽  
Heterogeneous Neoplasm ◽  
Risk Of Malignancy

Background: Ovarian tumours are a heterogeneous neoplasm with a varied clinical, morphological and histological feature. Increasing mortality rate due to ovarian cancers has been reported in recent years. Ovarian tumours in post-menopausal females have high risk of malignancy and it has a very poor outcome. The aim and objective of this study was to determine clinical and histopathological spectrum and the frequency and age distribution of various ovarian tumors.Methods: It is a retrospective observational study of patients with ovarian tumors in the department of obstetrics and gynecology, SGRRI of Medical Health & Sciences and Hospital from January 2016 to December 2017 in a total number of 86 patients. All specimens were sent to pathology department and categorised according to WHO  hispathological classification.Results: Out of 86 cases examined, 64 cases were benign (74.4%), 3 cases were borderline (3.4%) and 19 cases were malignant (22.2%). Majority of the ovarian tumors (73.4%) were seen in the age group of 20 to 50 years. Most commonly encountered benign ovarian tumour was serous cystadenoma (58.1%). Surface epithelial tumors were the commonest tumors (64%) followed by germ cell tumors (29%).Conclusions: A variety of benign and malignant tumours of ovary were reported in this study. Early diagnosis and appropriate treatment of ovarian neoplasms favour the good prognosis. Most common benign tumour encountered in this study was serous cystadenoma.

scholarly journals Clinical Presentation of Ovarian Tumour

2018 ◽  
Vol 28 (1) ◽  
pp. 21-25
Author(s):  
MS Nawrozy ◽  
F Sultana ◽  
AHM Kamal ◽  
A Begum ◽  
SF Tasmin ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Public Awareness ◽  
Mucinous Cystadenoma ◽  
Ovarian Tumour ◽  
Serous Cystadenoma ◽  
Malignant Tumours ◽  
College Hospital ◽  
Medical College ◽  
Benign Tumours

Background: Clinical course of ovarian tumours are amazingly quite and the malignant ones are often inoperable by the time they are diagnosed. Aim of this study was to look into any probable way of early diagnosis of ovarian tumour.Methods: This study was carried out at the Department of Obstetrics & Gynaecology of Rangpur Medical College Hospital, Rangpur from July 2012 to June 2014. In this study, total 31 cases were included. The findings were described as percentage of total. In addition, χ2 test & Pearson’s correlation coefficient ‘r’ test were also used.Results: Age range of all the cases was between 16 and 65 years. Among the 31 cases, benign cases were 77.41% and malignant were 22.59%. The highest incidence of benign case was observed around 35 years of age and for the malignant cases was above 60 years. Patients commonly presented with abdominal lump (83.87%), abdominal pain (83.87%) and dyspepsia (74.19%). Other presentations were weight loss (22.58%), rapid enlargement of growth (16.13%), sense of heaviness of abdomen (9.67%) and abdominal enlargement (3.23%). Histologically serous cystadenoma was 38.71%, dermoid cyst 22.58%, mucinous cystadenoma 16.13%, poorly differentiated adenocarcinoma 12.90%, serous cyst adenocarcinoma 6.45% and immature teratoma was 3.23%.Conclusion: This sample is too small to draw any conclusion. Yet, as it was found, the incidence of benign tumours rises with increasing age up to 40 years and thereafter it declines. Whereas, the incidence of malignant tumours are very low before 40 years and thereafter it increases gradually. Also, public awareness may be developed regarding a female, specifically above 40 years of age, if complaints of abdominal lump, abdominal pain or dyspepsia should be evaluated properly; this may help in early diagnosis of many malignant ovarian tumours.TAJ 2015; 28(1): 21-25

scholarly journals COLLISION TUMOUR IN OVARY;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Afra Samad ◽  
Namra Mahmood ◽  
Arbaz Samad
Keyword(s):  
Mature Teratoma ◽  
Mucinous Cystadenoma ◽  
Serous Cystadenoma ◽  
Surface Epithelium ◽  
Granulosa Cell Tumour ◽  
Review Of Literature ◽  
The Third ◽  
Collision Tumour ◽  
Ovarian Tumours ◽  
Sex Cord Stromal Tumor

Most of the ovarian tumours are of surface epithelium and account for 65-75% of tumours.1 Serous cystadenoma constitutes 20% of ovarian tumours. Sex- cord stromal tumour is less common. Fibroma is the most common sex-cord stromal tumor comprising 70%.2 Tumors can present in a combination in ovary like teratoma and mucinous cystadenoma, granulosa cell tumour and mature teratoma and/or mucinous tumors.3 We report a rare case of combined serous cystadenoma and fibroma in a 55 years old female. Review of literature reveal only two such cases. To best of our knowledge this is the third case which is being report.

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