Seromucinous Borderline Tumor Derived from Endometriosis

In: MRI of Gynaecological Diseases · 2023 · pp. 169–173 · doi:10.1007/978-981-99-3644-1_33 · W4388578954
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This case report describes a 36-year-old woman with an ovarian cyst initially diagnosed as endometrioid, who was later found to have a seromucinous borderline tumor originating from endometriosis.

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This paper describes a case report of a 36-year-old woman evaluated for occasional abdominal distension who had an ovarian cyst initially considered an endometrioid cyst on ultrasound. Serum testing showed elevated CA125 and CA199 with normal HE4 and CEA, and surgery found a right ovarian mass with solid and cystic components and membranous adhesion to the posterior uterine wall and lateral pelvic wall. Postoperative pathology identified a seromucinous borderline tumor originating from endometriosis, with the report presenting it as an imaging/pathology correlation without discussing broader cohorts or diagnostic performance. This paper is centrally about endometriosis — it reports a seromucinous borderline ovarian tumor derived from endometriosis.

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Abstract

A 36-year-old woman underwent medical examination for occasional abdominal distension 1 month ago. Ultrasound examination revealed an ovarian cyst, which was considered as endometrioid cyst. There was no abnormal vaginal bleeding, nausea, vomiting, and other discomfort. Serum tumor markers showed elevated CA125 (81.17 U/mL) and CA199 (195.7 U/mL) and normal HE4 (43.93 pmol/L) and CEA (1.06 ng/mL). Intraoperative findings: solid and cystic enlargement of the right ovary, about 5 cm × 4 cm × 3 cm in size, with membranous adhesion to the right posterior wall of uterus and lateral pelvic wall. Postoperative pathological result: (right ovary) seromucinous borderline tumor, originating from endometriosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

Kurata Y, Kido A, Moribata Y, et al. Differentiation of seromucinous borderline tumor from serous borderline tumor on MR imaging. Magn Reson Med Sci. 2018;17(3):211–7. Ando T, Kato H, Kawaguchi M, et al. MR findings for differentiating decidualized endometriomas from seromucinous borderline tumors of the ovary. Abdom Radiol (NY). 2020;45(6):1783–9. Kurata Y, Kido A, Moribata Y, et al. Diagnostic performance of MR imaging findings and quantitative values in the differentiation of seromucinous borderline tumour from endometriosis-related malignant ovarian tumour. Eur Radiol. 2017;27(4):1695–703. Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. About this chapter Cite this chapter Gu, S. (2023). Seromucinous Borderline Tumor Derived from Endometriosis. In: Zhang, G. (eds) MRI of Gynaecological Diseases. Springer, Singapore. https://doi.org/10.1007/978-981-99-3644-1_33 Download citation DOI: https://doi.org/10.1007/978-981-99-3644-1_33 Published: Publisher Name: Springer, Singapore Print ISBN: 978-981-99-3643-4 Online ISBN: 978-981-99-3644-1 eBook Packages: MedicineMedicine (R0)

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endometriosis

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