Mucinous borderline ovarian tumor with ascites

Area of Science:

• Gynecologic Oncology
• Pathology
• Surgical Oncology

Background:

• Epithelial ovarian tumors encompass a spectrum of malignancies, with borderline mucinous tumors representing a distinct subtype.
• These tumors exhibit a lower propensity for invasion and metastasis compared to malignant epithelial ovarian cancers, correlating with a superior prognosis.
• Standard management for borderline ovarian tumors typically involves surgical excision, with fertility-sparing options available for select patients.

Observation:

• A 59-year-old postmenopausal woman presented with a complex ovarian mucinous tumor and significant ascites.
• The patient had undergone three prior lines of neoadjuvant chemotherapy without objective clinical response.
• Subsequent staging laparotomy revealed a borderline ovarian mucinous tumor, necessitating no further adjuvant therapy.

Findings:

• Histopathological confirmation of a borderline ovarian mucinous tumor post-surgery.
• The patient experienced a favorable outcome and remains disease-free without the need for additional treatment.
• This case underscores the importance of accurate histopathological diagnosis in guiding treatment decisions for ovarian tumors.

Implications:

• Accurate diagnosis is crucial for appropriate management of ovarian mucinous tumors.
• Surgical intervention remains the cornerstone of treatment for borderline ovarian tumors.
• This case suggests that even in advanced presentations with prior treatment failure, surgical resection can lead to excellent outcomes for borderline ovarian mucinous tumors.