Serous psammocarcinoma is a form of ovarian carcinoma, characterized by massiv e psammoma body formation, invasiveness, and low-grade cytological features. We reported a new bilateral case of serous psammocarcinoma. W...Serous psammocarcinoma is a form of ovarian carcinoma, characterized by massiv e psammoma body formation, invasiveness, and low-grade cytological features. We reported a new bilateral case of serous psammocarcinoma. We also reviewed the l iterature in order to delineate clinical, pathological, and prognostic features of this rare neoplasm. A 66-year-old white woman was admitted to our Instituti on for a voluminous abdomino-pelvic mass, which was suspected to be a leiomyoma of the uterus. Abdominal computed tomography scan revealed a heavily calcified abdominopelvic mass with cystic areas. The origin of this lesion was unclear in diverse scanning of computed tomography. Elevated serum CA-125 levels suggested the eventuality of an ovarian neoplasm. Thus, the patient underwent an explorat ory laparotomy. Intraoperatory findings showed two ovarian calcified lesions. Th e surface of omentum was covered with a white nodule. Pathological findings were consistent with serous psammocarcinoma with invasive implant of the omentum. Se rous psammocarcinoma is a rare form of ovarian carcinoma with only 13 cases repo rted in literature. Patient’s age can range from 18 to 76 years. Prognostic fac tors suggest that this neoplasm has more favorable prognosis than usual serous c arcinomas. It is important to differentiate these two neoplasms and other pelvic mass, such as calcified leiomyoma.展开更多
文摘Serous psammocarcinoma is a form of ovarian carcinoma, characterized by massiv e psammoma body formation, invasiveness, and low-grade cytological features. We reported a new bilateral case of serous psammocarcinoma. We also reviewed the l iterature in order to delineate clinical, pathological, and prognostic features of this rare neoplasm. A 66-year-old white woman was admitted to our Instituti on for a voluminous abdomino-pelvic mass, which was suspected to be a leiomyoma of the uterus. Abdominal computed tomography scan revealed a heavily calcified abdominopelvic mass with cystic areas. The origin of this lesion was unclear in diverse scanning of computed tomography. Elevated serum CA-125 levels suggested the eventuality of an ovarian neoplasm. Thus, the patient underwent an explorat ory laparotomy. Intraoperatory findings showed two ovarian calcified lesions. Th e surface of omentum was covered with a white nodule. Pathological findings were consistent with serous psammocarcinoma with invasive implant of the omentum. Se rous psammocarcinoma is a rare form of ovarian carcinoma with only 13 cases repo rted in literature. Patient’s age can range from 18 to 76 years. Prognostic fac tors suggest that this neoplasm has more favorable prognosis than usual serous c arcinomas. It is important to differentiate these two neoplasms and other pelvic mass, such as calcified leiomyoma.
