Ovarian mucinous tumor with anaplastic carcinoma and sarcoma-like mural nodule: about a difficult case

Development of mural nodules in mucinous or serous ovarian tumors are exceptional. These nodules can be benign or malignant. The author reports the seventh case of mucinous ovarian tumor associated with both sarcoma-like mural nodules and anaplastic carcinoma, in a 58-year-old, post-menopausal Caucasian female. The patient underwent surgery, followed by adjuvant chemotherapy for a pT1aN0 lesion. Shortly after completion of chemotherapy, diffuse metastases appeared. Second-line chemotherapy by anthracyclin was administered. After one cycle, disease progression with ascites was observed. Third-line chemotherapy by gemcitabine was decided. The prognosis of these tumors is poor, depending on the characteristics of the mural nodule. No consensus for treatment exists after surgery.

Mucinous ovarian tumor; Sarcoma-like mural nodule; Anaplastic carcinoma.

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