Abstract

The classification of ovarian tumour is primarily morphologic and based on cytological features of tumour cells. The ovary contains 4 major types of tissues: Epithelium, Germ cells, Sex cords and Ovarian stroma; all of which can give rise to a variety of neoplasms.

Case Details:

72 year old female with Unhealthy cervix; USG showing Heterogenous lesion noted in midline ? Malignancy. MRI: Left ovarian malignant solid cystic neoplasm T2bN1bMx. Intra-op details: Ascites 300 ml; 8 x 6 cm hard irregular mass arising from the left ovary involving sigmoid colon and adherent to Left pelvic wall; closely adherent to Left ureter.

Discussion:

We received a Total Abdominal Hysterectomy with Bilateral salpingo-oophorectomy with bilateral Pelvic Lymph node dissection with partial sigmoidectomy specimen. Left ovary mass with sigmoid colon showed solid areas with papillary projections and cystic areas with mucoid material

Conclusion:

Right and left ovaries and fallopian tubes and uterus intact. Histologic type- Transitional cell carcinoma. Grade G3 poorly differentiated; No definite atypical cells in ascitic fluid, among 22 lymph nodes, 10 were involved; among which 5 were < 10mm; and 5 were > 10mm. pTNM Classification: pT1a (tumour limited to one ovary) N1b ( metastatic deposit > 10mm in greatest dimension). FIGO Stage IIIA1 (ii) – Tumour limited to one ovary with one retroperitoneal lymph node involvement > 10mm in greatest dimension.