Paratubal serous borderline tumor in an 85 years old woman: A case report

Jordy Mehawej, Nicole El Helou, Lina Wang, Paulette Mhawech‐Fauceglia
In: Gynecologic Oncology Reports · 2020 · vol. 32 , pp. 100559 · doi:10.1016/j.gore.2020.100559 · PMID:32258331 · W3011544020
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This case report details an 85-year-old woman diagnosed with a rare serous borderline tumor arising in a paratubal cyst, identified after hysterectomy for uterine fibroids.

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Abstract

Paratubal cysts are incidental, common and benign lesions with few cases of borderline tumor and adenocarcinoma been reported in the literature. Herein, we are discussing a case of an 85 years old woman who visited her Obstetrics and Gynecologist for a chief complaint of post-menopausal bleeding. Physical examination revealed a slightly enlarged uterus. The diagnosis of fibroids were made on ultrasound. A total hysterectomy with bilateral salpingo-oophorectomy was performed without complications. The gross examination of the specimen was most remarkable for multiple intramural fibroids and a right simple paratubal cyst meausirng 1 × 1 cm. Microscopical evaluation of the paratubal cyst showed a simple cyst lined by stratified cuboidal epithelium with mild cytologic atypia and no stromal invasion, findings consistent with serous borderline tumor rising in a paratubal cyst. Due to the small size of the tumor and its confinement to the cyst, a follow-up was advised. Serous borderline tumors arising in paratubal cyst are very rare with only eight cases reported in the literature. Their existence should be acknowledged to plan patient treatment and outcome.

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