Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio
In the gynecology clinic is very frequent the incidental finding of annexed masses, prevalence varying between 2.5% and 18% in women depending on the studies postmenopausal and about 7.8% premenopausic. Most of these are benign masses. The diagnosis of the annexed masses is made by ultrasonographic...
| Autores principales: | , , , , |
|---|---|
| Formato: | Artículo revista |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39034 |
| Aporte de: |
| id |
I10-R327-article-39034 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Adnexal tumors macroscopy histopathology interdisciplinarity tumores anexiales macroscopia histopatología interdisciplinariedad |
| spellingShingle |
Adnexal tumors macroscopy histopathology interdisciplinarity tumores anexiales macroscopia histopatología interdisciplinariedad Basanta Chao , BB Trezza, C Bongiorni, C Juárez Escuti , A Asis, G Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| topic_facet |
Adnexal tumors macroscopy histopathology interdisciplinarity tumores anexiales macroscopia histopatología interdisciplinariedad |
| author |
Basanta Chao , BB Trezza, C Bongiorni, C Juárez Escuti , A Asis, G |
| author_facet |
Basanta Chao , BB Trezza, C Bongiorni, C Juárez Escuti , A Asis, G |
| author_sort |
Basanta Chao , BB |
| title |
Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| title_short |
Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| title_full |
Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| title_fullStr |
Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| title_full_unstemmed |
Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio |
| title_sort |
presentación de un caso de tumor benigno de ovario, denominado cistoadenofibroma de ovario. dilema en el estudio intraoperatorio |
| description |
In the gynecology clinic is very frequent the incidental finding of annexed masses, prevalence varying between 2.5% and 18% in women depending on the studies postmenopausal and about 7.8% premenopausic. Most of these are benign masses. The diagnosis of the annexed masses is made by ultrasonographic study, but there are different terminologies for the ultrasound description in order to achieve a good differential diagnosis between benign and malignant annexed masses. Among them is the terminology IOTA (International Analysis of Ovarian Tumors).Pathological Anatomy teaches us that heterogeneous annexed tumors, in young patients (childbearing age) pose differential diagnosis between benign tumor versus borderline or malignant ovary, for its complex macroscopic characteristics. Objectives: Present a case of benign ovary tumor with macroscopic features heterogeneous. To analyze the macroscopic criteria, both in the intraoperative study and in the deferred, to establish the correct diagnosis.
34 years old woman who consults on call for acute abdominal pain. The imaging studies shows bilateral, multilobed, cystic annexed masses of hematic content and papillary structures. Emergency hospitalization was required with suspected torsion of ovarian cyst. The intraoperative study of both masses of 12 cm and 11 cm respectively, which were heterogeneous, hematic content and papillary formations. The intraoperative study differed due to morphological heterogeneity. By histopathological study of deferred cuts, processed with techniques usual and colored with H&E was made the diagnosis of ovarian serous cystoadenofibroma.
Cystics ovarian tumors include a broad spectrum of benign neoplasms as malignant. Those derived from the surface epithelium account for 60% of the ovarian tumors, usually unilateral and one third of cases exhibit bilaterality. They are a major diagnostic challenge, the determination of which is based on clinical history, imaging and morphological analysis. Ovarian serous cystadenfibroma is a benign tumor of rare presentation whose protagonism is acquired by fibrous stroma that includes macroscopically papillary formations of special characteristics. In addition to the architectural complexity of this neoplasia, the frequent vasculars complications due to their large size in most cases and represents a diagnostic challenge, both in gynaecological urgency as well as in the intraoperative study of surgery. The complete excision is the definitive curative treatment. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/39034 |
| work_keys_str_mv |
AT basantachaobb presentaciondeuncasodetumorbenignodeovariodenominadocistoadenofibromadeovariodilemaenelestudiointraoperatorio AT trezzac presentaciondeuncasodetumorbenignodeovariodenominadocistoadenofibromadeovariodilemaenelestudiointraoperatorio AT bongiornic presentaciondeuncasodetumorbenignodeovariodenominadocistoadenofibromadeovariodilemaenelestudiointraoperatorio AT juarezescutia presentaciondeuncasodetumorbenignodeovariodenominadocistoadenofibromadeovariodilemaenelestudiointraoperatorio AT asisg presentaciondeuncasodetumorbenignodeovariodenominadocistoadenofibromadeovariodilemaenelestudiointraoperatorio |
| first_indexed |
2024-09-03T21:04:00Z |
| last_indexed |
2024-09-03T21:04:00Z |
| _version_ |
1809210347095064576 |
| spelling |
I10-R327-article-390342024-04-15T16:14:45Z Presentación de un caso de Tumor benigno de ovario, denominado Cistoadenofibroma de ovario. Dilema en el estudio intraoperatorio Basanta Chao , BB Trezza, C Bongiorni, C Juárez Escuti , A Asis, G Adnexal tumors macroscopy histopathology interdisciplinarity tumores anexiales macroscopia histopatología interdisciplinariedad In the gynecology clinic is very frequent the incidental finding of annexed masses, prevalence varying between 2.5% and 18% in women depending on the studies postmenopausal and about 7.8% premenopausic. Most of these are benign masses. The diagnosis of the annexed masses is made by ultrasonographic study, but there are different terminologies for the ultrasound description in order to achieve a good differential diagnosis between benign and malignant annexed masses. Among them is the terminology IOTA (International Analysis of Ovarian Tumors).Pathological Anatomy teaches us that heterogeneous annexed tumors, in young patients (childbearing age) pose differential diagnosis between benign tumor versus borderline or malignant ovary, for its complex macroscopic characteristics. Objectives: Present a case of benign ovary tumor with macroscopic features heterogeneous. To analyze the macroscopic criteria, both in the intraoperative study and in the deferred, to establish the correct diagnosis. 34 years old woman who consults on call for acute abdominal pain. The imaging studies shows bilateral, multilobed, cystic annexed masses of hematic content and papillary structures. Emergency hospitalization was required with suspected torsion of ovarian cyst. The intraoperative study of both masses of 12 cm and 11 cm respectively, which were heterogeneous, hematic content and papillary formations. The intraoperative study differed due to morphological heterogeneity. By histopathological study of deferred cuts, processed with techniques usual and colored with H&E was made the diagnosis of ovarian serous cystoadenofibroma. Cystics ovarian tumors include a broad spectrum of benign neoplasms as malignant. Those derived from the surface epithelium account for 60% of the ovarian tumors, usually unilateral and one third of cases exhibit bilaterality. They are a major diagnostic challenge, the determination of which is based on clinical history, imaging and morphological analysis. Ovarian serous cystadenfibroma is a benign tumor of rare presentation whose protagonism is acquired by fibrous stroma that includes macroscopically papillary formations of special characteristics. In addition to the architectural complexity of this neoplasia, the frequent vasculars complications due to their large size in most cases and represents a diagnostic challenge, both in gynaecological urgency as well as in the intraoperative study of surgery. The complete excision is the definitive curative treatment. En la consulta de Ginecología es frecuente el hallazgo incidental de masas anexiales, prevalencia que varía dependiendo de los estudios entre 2,5 % y 18 % en mujeres postmenopáusicas y alrededor del 7,8 % en premenopáusicas. La mayoría de estas masas son benignas. El diagnóstico de las masas anexiales se realiza mediante estudio ultrasonográfico, pero existen diferentes terminologías para la descripción ecográfica a fin de lograr un buen diagnóstico diferencial entre las masas anexiales benignas y malignas. Entre ellas la terminología IOTA (Análisis Internacional de los Tumores de Ovarios). La Anatomía Patológica nos enseña que los tumores anexiales heterogéneos, en pacientes jóvenes (edad fértil) plantean diagnóstico diferencial entre tumor benigno versus bordelinde o maligno de ovario, por sus características macroscópicas complejas. Objetivos: Presentar un caso de tumor de ovario benigno de características macroscópicas heterogéneas. Analizar los criterios macroscópicos, tanto en el estudio intraoperatorio, como en el diferido, para establecer el diagnóstico correcto. Mujer de 34 años quien consulta en guardia por dolor abdominal agudo. Los estudios imagenológicos muestran masas anexiales quísticas bilaterales, multilobuladas, de contenido hemático y estructuras papilares. Se requirió internación de urgencia con sospecha de torsión de quiste de ovario. Se realizó estudio intraoperatorio de ambas masas anexiales cuyos tamaños fueron de 12 cm y 11 cm respectivamente, las cuales fueron heterogéneas, contenido hemático y formaciones papilares. Se difirió el estudio intraoperatorio por la heterogeneidad morfológica. Mediante el estudio histopatológico de los cortes diferidos, procesados con las técnicas habituales y coloreados con H&E se realizó el diagnóstico de Cistoadenofibroma seroso de ovario. Los tumores quisticos de ovario incluyen un amplio espectro de neoplasias tanto benignas como malignas, representan un reto diagnóstico, cuya determinación se basa en criterios clínicos, imagenológicos y morfológicos. El Cistoadenofibroma seroso ovárico, es un tumor benigno infrecuente, cuyo protagonismo lo adquiere la estroma fibrosa que incluye macroscopicamente formaciones papilares caaracteristicas. Además de la complejidad arquitectural, se añaden las frecuentes complicaciones vasculares de tamaño significativo, como nuestro caso, representando un desafío diagnóstico, tanto en urgencia ginecológica como en el estudio intraoperatotio de la pieza. La escisión completa es el tratamiento definitivo. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-10-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/39034 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. Suplemento JIC XXIII (2022): Suplemento JIC XXIII Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. Suplemento JIC XXIII (2022): Suplemento JIC XXIII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |