Adenocarcinoma mucinoso com alto grau de malignidade - relato de caso / High grade mucinous adenocarcinoma - case report

Abstract

Ovarian neoplasms are the third group of tumors that most affect women. Commonly asymptomatic, many patients are in an advanced stage of the disease at the time of diagnosis, resulting in high lethality rates. Within this context, mucinous adenocarcinoma is a malignant neoplasm that often acquires large dimensions. We report the case of a 35year-old woman who came to the onco-gynecological outpatient care reporting that, for the past year, she had an increase in abdominal volume with no other complaints. After investigation with transvaginal Doppler ultrasonography and tumor markers, she underwent exploratory laparotomy. During the procedure, an ovarian tumor was excised on her right side, weighing 9750 grams and measuring 38x25x15 centimeters. The biopsy report revealed adenocarcinoma of high histological grade of malignancy with areas of mucinous differentiation. Due to the high lethality rate related to ovarian neoplasms, combined with the silent clinical picture, the observance of comprehensive care with effective complementary exams may change the natural course of the disease.