One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin

Renato Seracchioli, Mohamed Mabrouk, Serena Solfrini, Sara Savelli, Greta Caprara, Chiara Facchini, E. Geraci, Simona Del Forno, Stefano Venturoli
In: Case Reports in Oncology · 2010 · vol. 3(3) , pp. 428–433 · doi:10.1159/000322204 · PMID:21151637 · W1998356075
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Abstract

We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to be malignant. After thorough counseling, the patient underwent operative laparoscopy for excision of the para-ovarian mass with frozen section (FS) examination resulting in the diagnosis of a poorly differentiated adenocarcinoma. In this case, FS results allowed performing a comprehensive oncological staging, through a totally laparoscopic extrafascial hysterectomy, bilateral adnexectomy, total omentectomy, pelvic wall peritonectomy, and pelvic, parasacral and para-aortic lymphadenectomy. Final pathological and immunohistochemical results confirmed the diagnosis of FATWO. To our knowledge, this is the first case of FATWO managed entirely by a minimally invasive laparoscopic approach in a single surgical session.

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