Adenocarcionma Of Mullerian Origin masquerading as an ovarian tumour- a rare case report

Dr Sujata Sarangi,Dr Urvee Sarkar,Dr Suchismita Chakrabarti

doi:10.17511/jopm.2017.i03.15

Dr Sujata Sarangi, Dr Urvee Sarkar + Show 1 more

Open Access

https://doi.org/10.17511/jopm.2017.i03.15

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Abstract

Objective: To create awareness about this rare tumour and the way it can mislead the clinician into believing it to be of an ovarian origin. Case report: A 50 years old postmenopausal female presented with a partly solid-partly cystic mass noted arising from the mesentery of sigmoid colon, obliterating the pouch of douglas and adhered to the posterior surface of uterus and right adnexa. The histopa thological features were suggestive of Adenocarcinoma of Mullerian origin. Conclusion: Great caution and precision are needed to ascertain the origin and management of these tumours as they carry a bad prognosis.

Highlights

Adenocarcinoma of Mullerian origin, previously, known as ‘mesothelioma of pelvic origin’, is a rare primary malignancy of the peritoneum [1]
We present a case of a 50 year old postmenopausal lady presenting with a heterogenous abdominal SOL arising from the mesentery
The mass was diagnosed as Adenocarcinoma of Mullerian origin

Summary

Introduction

Adenocarcinoma of Mullerian origin, previously, known as ‘mesothelioma of pelvic origin’, is a rare primary malignancy of the peritoneum [1]. We present a case of a 50 year old postmenopausal lady presenting with a heterogenous abdominal SOL arising from the mesentery. The mass was diagnosed as Adenocarcinoma of Mullerian origin. No gross abnormality was noted on physical examination. CT scan of the abdomen revealed a moderate to large heterogenous solid enhancing mass with irregular necrosis in the right adnexal region pushing the uterus anteriorly, with minimal encysted fluid. A partly solid-partly cystic mass was noted arising from the mesentery of sigmoid colon, obliterating the Pouch of Douglas. The mass was adhered to the posterior surface of uterus and right adnexa. We found that uterus and cervix measured 6x4x3 cm. Both adnexa were found to be within normal limits.

Discussion

Conclusion