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Updated: May 19, 2026

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
[Synchronous double primary ovarian tumor in situ]
Francisco Bernárdez Zapata1, Rosa Alicia Jáuregui Meléndrez, Elizabeth Cabrera Carranco
1Departamento de Obstetricia, Hospital Español de México, DF México. frann60@gmail.com
Background:
Afinding of primary malignancies of different histological nature in each ovary is a particularly interesting condition since the information available about it is scarce and because there is hardly any consensus about its definition, classification and proper diagnostic-therapeutic approach.
Clinical Case:
A case of a 49-year-old female patient presenting an abdominal mass with irregular 10 x 10 cm edges that comprises the area between the left illiac fossa and the umbilical scar. An exploratory laparatomy revealed two masses; a 15 cm cystic one in the left ovary, and an 8 cm one in the right ovary. The following histopathological analysis revealed a bilateral papillary carcinoma. A full oncogy-necological surgical protocol for ovarian carcinoma was applied. The last histopathological analysis revealed a clear cell carcinoma in the left ovary, and a moderately differentiated endometrioid carcinoma in the right one.
Conclusions:
A rare case of a synchronous double primary ovarian tumor is reported. Its clinical presentation, diagnosis, treatment and follow-up pose a particular classification issue.
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