Recurrent serous borderline ovarian tumour
- PDF / 554,895 Bytes
- 2 Pages / 595.276 x 790.866 pts Page_size
- 34 Downloads / 186 Views
CORRESPONDENCE
Recurrent serous borderline ovarian tumour Benjamin P. Jones1 · Joseph Yazbek2 Received: 13 February 2019 / Accepted: 16 March 2019 © Springer-Verlag GmbH Germany, part of Springer Nature 2019
Clinical image A 30-year-old nulliparous woman was under surveillance for stage IIIa serous borderline ovarian tumour (sBOT), which was treated 4 years previously with right salpingo-oophorectomy and omentectomy. Ultrasound revealed a unilocular solid cyst (33 × 31 × 27 mm) with an irregularly surfaced papillary projection (13 × 12 × 11 mm), which is characteristic of sBOT recurrence (Fig. 1). This pathognomonic appearance was clearly demonstrated with 3D ultrasound (Fig. 2). She requested fertility preserving surgical management. Since the lesion was too small to be seen laparoscopically, intraoperative transvaginal ultrasound was used to facilitate laparoscopic excision of the tumour. It was removed intact and subsequently incised and inverted to macroscopically reveal the signs seen ultrasonographically (Fig. 3). Recovery was uncomplicated and she remains disease free 2 years post-operatively. sBOTs represent 10–15% of all epithelial ovarian tumours. As they possess malignant potential and have a preponderance to affect women of reproductive age, they require individualised surgical management. Post-operative follow-up necessitates ultrasonographic monitoring, to identify the characteristic features demonstrated herein. Fertility preservation surgery in this context necessitates an approach that balances the obligation to remove pathology safely but preserves the essential components for reproduction. Advancement in ultrasound technology has made earlier diagnosis possible, necessitating evolution in surgical
Fig. 1 2D ultrasound image demonstrating unilocular solid cyst with an irregularly surfaced papillary projection
* Benjamin P. Jones [email protected] Joseph Yazbek [email protected] 1
Department of Surgery and Cancer, Imperial College London, Du Cane Road, London W12 0NN, UK
West London Gynaecological Cancer Centre, Hammersmith Hospital, Imperial College NHS Trust, Du Cane Road, London W12 0HS, UK
2
Fig. 2 3D ultrasound image confirming characteristic features of sBOT recurrence
13
Vol.:(0123456789)
Archives of Gynecology and Obstetrics
technique to deal with pathology that is not macroscopically visible. Author contributions BJ conceived the original idea and wrote the article. JY performed the surgery and ultrasound and provided the images.
Compliance with ethical standards Conflict of interest Authors declare that they have no conflict of interest.
Publisher’s Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Fig. 3 Macroscopic appearence of cyst following incision and inversion, demonstrationg the feaures seen on ultrasound
13
Data Loading...
