Borderline endometrioid tumor arising in a paratubal cyst: a case report. uri icon

Overview

abstract

  • BACKGROUND: Paratubal cysts, generally known as hydatid cysts of Morgagni, are small round cysts attached by a pedicle to the fimbriated end of the tube. The following represents the first reported case of an endometrioid tumor of low malignant potential arising in a paratubal cyst. CASE REPORT: A 45-year-old nulliparous female was referred with a complex right adnexal mass on pelvic sonogram. She underwent laparoscopic bilateral ovarian cystectomy and partial right salpingectomy (for a 3-cm torsed paratubal cyst). All frozen-section diagnoses were benign; however, final pathology revealed a borderline tumor of low malignant potential of endometrioid type in the right paratubal cyst. The patient underwent extensive counseling regarding management options and decided to have a laparoscopic right salpingo-oophorectomy. Final pathologic analysis revealed no evidence of persistent borderline tumor. CONCLUSION: Paratubal cysts are very difficult to diagnose with sonography; therefore, their management should be approached as any other adnexal mass. Laparoscopic surgery is an option in the management of adnexal masses; however, rupture or puncture of masses should be avoided when possible to prevent potential tumor dissemination in the event of a malignancy.

publication date

  • April 1, 2005

Research

keywords

  • Carcinoma, Endometrioid
  • Cysts
  • Fallopian Tube Diseases

Identity

Scopus Document Identifier

  • 15544378088

Digital Object Identifier (DOI)

  • 10.1016/j.ygyno.2004.12.032

PubMed ID

  • 15790473

Additional Document Info

volume

  • 97

issue

  • 1