Abstract
Ovarian carcinomas remain a cause of soaring mortality in the general population. Due to their anatomical location in the pelvis, malignant ovarian transformations often evade early detection, reaching astronomical proportions before eliciting clinically obvious symptoms. Epithelial ovarian carcinomas encompass a concoction of tumours derived from the ovarian surface epithelium, and are further subdivided into several subtypes ascertained primarily through histopathological workup. Of these subtypes, endometrioid ovarian carcinoma is noted to be a particularly well-differentiated tumour that often presents early in the disease course. Contrarily, advanced-stage tumours manifest a vague constellation of symptoms, such as abdominal distension and bloating, resulting in dilatory tumour detection. We hereby delineate an interesting case of a high-grade ovarian endometrioid carcinoma that, due to its vague presenting symptoms and a concomitant history of amenorrhea, was erroneously regarded as pregnancy. Subsequent diagnostic workup divulged a bilateral endometrioid ovarian carcinoma with associated serosal involvement and extensive lymph-vascular invasion.
Highlights
Ovarian carcinoma remains one of the most commonly occurring gynaecological malignancies and boasts a dismal prognosis [1]
Ovarian cancers can broadly be divided into epithelial cancers, germ cell tumours, and stromal tumours, reflecting the specific cell lineage implicated in the malignant transformation [2]
This means that ovarian cancers, regardless of their particular subtypes, can proliferate to exorbitant proportions before they manifest any noticeable symptoms that necessitate further diagnostic evaluation
Summary
Talal Almas 1 , Muneeb Ullah 2 , Maryam Ehtesham 1 , Abdul Haadi 3 , Muhammad Kashif Khan 4, 5.
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