J Gynecol Oncol.  2011 Dec;22(4):295-298. 10.3802/jgo.2011.22.4.295.

Paratubal serous borderline tumor

Affiliations
  • 1Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. catgut1-0@hanmail.net
  • 2Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Although paratubal cysts are well-characterized incidental findings, paratubal serous borderline tumors are very rare, with only one case report in the literature. We describe here a 27-year-old, nulliparous, married woman with a paratubal serous borderline tumor. The patient presented with a huge pelvic mass accompanied by flank pain and underwent paratubal cystectomy and fertility-sparing surgical staging procedures. Thirteen months after surgery, she delivered a healthy baby at term. She is well, without evidence of disease, 20 months after surgery. Because paratubal serous borderline tumors are very rare, their optimal management must be extrapolated from their ovarian counterparts.

Keyword

Paratubal cyst; Paratubal serous borderline tumor

MeSH Terms

Adult
Cystectomy
Female
Flank Pain
Humans
Incidental Findings
Parovarian Cyst

Figure

  • Fig. 1 Transvaginal ultrasonography (A) and abdomino-pelvic computed tomography (B) showing a 16 cm cystic mass with enhancing intramural solid nodules (arrows) in the pelvic cavity.

  • Fig. 2 (A) Grossly, the tumor had a homogeneous purplish white inner surface and multiple yellow papillary projections up to 2.1 cm in greatest dimension. (B, C) Microscopic finding of paratubal serous borderline tumor: epithelial cells with mild nuclear atypia show stratification and appear to be free-floating around the smaller papillae (B, C: H&E, ×400).


Reference

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