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...
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| Autores principales: | , , , , |
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/39034 |
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| Sumario: | 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. |
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