Ovarian Endometriosis with Borderline Serous Tumor- Association or Coincidence – A Case Report and Review of Literature

In: Indian Journal of Medical and Paediatric Oncology · 2020 · vol. 41(03) , pp. 406–408 · doi:10.4103/ijmpo.ijmpo_209_18 · W3039517663
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AI-generated summary by claude@2026-06, 2026-06-09

This case report and literature review examines the association between ovarian endometriosis and borderline serous tumors, presenting a case where endometriosis was found adjacent to such a tumor.

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AI-generated deep summary by claude@2026-06, 2026-06-10

This case report and literature review describes a 40-year-old woman presenting with abnormal uterine bleeding and an ovarian mass, whose hysterectomy with bilateral salpingo-oophorectomy specimen showed a borderline serous tumor associated with endometriosis. The authors used histopathological examination to identify endometriotic glands and stroma in the ovarian tissue alongside the borderline serous tumor, and they note that serous or mucinous tumors are infrequently associated with endometriosis compared with clear cell and endometrioid malignancies. A key limitation is that this is a single case report, so it cannot establish whether the association reflects causation or coincidence, despite discussion of proposed mechanisms such as hormonal/immune and genetic factors. This paper is centrally about endometriosis — specifically, an ovarian borderline serous tumor with associated endometriosis.

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Abstract

Abstract Endometriosis is the presence of endometrial glands outside the endometrium, and ovary is the common site for endometriosis. Endometriosis can also transform into malignant tumors. When endometriosis is present within the tumors, the term endometriosis-derived tumor applies, whereas when endometriosis is recognized adjacent to the tumor, it is called as endometriosis-associated tumor. Borderline serous tumor is surface epithelial ovarian tumor. The endometriosis-associated ovarian malignancies are clear cell adenocarcinoma and endometrioid adenocarcinoma, whereas serous and mucinous are rare malignancies with endometriosis. Here, we are presenting a case report in which endometriosis was associated with borderline serous tumor.

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endometriosis

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