Management of a Giant Border-line Malign Musinous Tumor of the Ovary in an Infertile Woman

Abstract

ucinous tumors account for 12-15% of all ovarian tumors. 1 Although the vast majority of these tumors are benign (75%), borderline (atypical proliferative) types (10%) and carcinomas (15%) are also seen. It was thought that mucinous carcinomas of the ovary may develop from benign and mucinous borderline tumors. 2 Mucinous borderline ovarian tumors (BOTs) are classified as gastrointestinal type (85%) and seromucinous type (15%), depending on their histological architecture and type of tumor cells. Seromucinous ovarian tumors are not common and their clinical behavior is not as aggressive as much as other types. The reported mortality rate with these tumors is low. 2 There is slightly increased relationship between infertility and BOTs. 3,4 CASE REPORT We presented a case of a 37-year-old woman who had been undergoing infertility treatment for 6 years. Diagnostic laparoscopy performed for infertility two years earlier had revealed a normal looking uterus and a normal looking left ovary. A cyst on the right ovary containing serous fluid was aspirated during the procedure. The patient had undergone a second ovulation induction protocol for primary infertility 6 months earlier. She presented to our hospital with an abdominal mass running into the diaphragm. Ultrasonographic and magnetic resonance imaging investigations showed a 28×30 cm cystic mass with septations ,possibly oriented from the right ovary and filling the abdominal cavity, free fluid in the pelvic and perihepatic sides, and no