Coexistence of mucinous cystadenoma of the ovary andovarian sarcoidosis

Interesting case of ovarian sarcoidosis: The value of multi disciplinary team working

“…Preoperatively in one case, the CT scan of the abdomen revealed enlarged lymph nodes in para aortic and mesenteric region and in the second case the mediastinal nodes were enlarged [3,5] Clinically and radiologically (ultrasound and CT scan) a mass was noted in the pelvis in three cases prior to surgical treatment [3,5,9] In our case report the retroperitoneal nodes were also enlarged.…”

“…The primary targets include lungs, lymph nodes, liver and spleen. Ovarian sarcoidosis presenting as bilateral adnexal masses is extremely rare whether as a component of systemic disorder or as an isolated finding [3]. Both the presentation and the findings can mislead a clinician towards sinister diagnosis.…”

“…Ovarian sarcoidosis is an extremely rare condition and is known to mimic ovarian malignancy. To date only seven cases of ovarian involvement have been reported in the English language literature [3-9]. Four of these cases revealed uterine involvement as well on pathological examination.…”

“…The CA-125 was between 248–477 IU/ml [3,5,6]. Postmenopausal bleeding, menorrhaegia and cervical carcinoma in situ accounted for the other four women who underwent hysterectomy and bilateral salpigo-ophorectomy.…”

“…Although White et al [3] described coexistence of mucinous cystadenoma of the ovary and ovarian sarcoidosis. In our case given the resolution of pelvic mass with steroids it was unlikely to be cystadenoma.…”