Malignant mixed epithelial tumour of ovary-serous papillary cystadenocarcinoma and transitional cell carcinoma with tubo-ovarian torsion: a rare tumour with rare presentation.

Ovarian torsion can be associated with various pathophysiological factors. Most commonly, benign epithelial ovarian tumours present with torsion. We present an unusual case of mixed malignant epithelial ovarian tumour with a predominant component of high-grade serous cystadenocarcinoma (85%) and transitional cell carcinoma (TCC) (15%) in a patient who presented with acute lower abdomen. The tumour was associated with tubo-ovarian torsion.

[1]  I. Lalya,et al.  Transitional cell carcinoma of the ovary: A rare case and review of literature , 2010, World journal of surgical oncology.

[2]  Ie-Ming Shih,et al.  The Origin and Pathogenesis of Epithelial Ovarian Cancer: A Proposed Unifying Theory , 2010, The American journal of surgical pathology.

[3]  B. Têtu,et al.  Mixed ovarian large cell neuroendocrine carcinoma, mucinous adenocarcinoma, and teratoma: a report of two cases and review of the literature. , 2009, Pathology, research and practice.

[4]  J. Berek Berek and Hacker's Gynecologic Oncology 5/e , 2009 .

[5]  Michael T Deavers,et al.  Grading Ovarian Serous Carcinoma Using a Two-Tier System , 2004, The American journal of surgical pathology.

[6]  D. Polyzos,et al.  Uterine adnexal torsion: pathologic and gray-scale ultrasonographic findings. , 2004, Clinical and experimental obstetrics & gynecology.

[7]  J. E. Peña,et al.  Usefulness of Doppler sonography in the diagnosis of ovarian torsion. , 2000, Fertility and sterility.

[8]  A. Fleischer,et al.  Color Doppler sonography of adnexal torsion. , 1995, Journal of ultrasound in medicine.

[9]  T. Burke,et al.  High-stage endometrioid carcinoma of the ovary. Prognostic significance of pure versus mixed histologic types. , 1994, The American journal of surgical pathology.

[10]  D. Grimes,et al.  Ovarian neoplasms and the risk of adnexal torsion. , 1991, American journal of obstetrics and gynecology.

[11]  D. Gershenson,et al.  Ovarian carcinomas with transitional cell carcinoma pattern. , 1990, American journal of clinical pathology.

[12]  D. Grimes,et al.  Adnexal Torsion in Postmenopausal Women , 1989, Obstetrics and gynecology.