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. 2013 Oct;20(5):79-82.

Malignant mixed epithelial tumour of ovary-serous papillary cystadenocarcinoma and transitional cell carcinoma with tubo-ovarian torsion: a rare tumour with rare presentation

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Malignant mixed epithelial tumour of ovary-serous papillary cystadenocarcinoma and transitional cell carcinoma with tubo-ovarian torsion: a rare tumour with rare presentation

Shashikant Adlekha et al. Malays J Med Sci. 2013 Oct.

Abstract

Ovarian torsion can be associated with various pathophysiological factors. Most commonly, benign epithelial ovarian tumours present with torsion. We present an unusual case of mixed malignant epithelial ovarian tumour with a predominant component of high-grade serous cystadenocarcinoma (85%) and transitional cell carcinoma (TCC) (15%) in a patient who presented with acute lower abdomen. The tumour was associated with tubo-ovarian torsion.

Keywords: acute abdomen; malignant epithelial neoplasms; serous carcinoma; torsion abnormality; transitional cell carcinoma.

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Figures

Figure 1:
Figure 1:
Cut open specimen of ovary showing marked degree of infarction and focal grey white solid area (red arrow).
Figure 2:
Figure 2:
Section showing closely packed malignant transitional cell nests (Haematoxylin and eosin, 100× magnification).
Figure 3:
Figure 3:
Section showing a cystic cavity lined by proliferating papillae and micro papillae of serous adenocarcinoma with invasion of stroma by solid nests and glandular structures-(Haematoxylin and eosin, 100× magnification).

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