A case report of primary Müllerian adenosarcoma of the ovary and literature review
10.3969/j.issn.1672-8467.2024.05.031
- VernacularTitle:原发卵巢Müllerian腺肉瘤1例及文献回顾
- Author:
Tao PU
1
;
Fang-Fang ZHONG
;
Xiao-Yan ZHANG
;
Dong-Dong SHI
;
Cong-Jian XU
;
Hong-Yuan JIANG
;
Ling-Ling FAN
Author Information
1. 复旦大学附属妇产科医院妇科 上海 200011
- Keywords:
Müllerian adenosarcoma(MA);
ovarian adenosarcoma;
rare tumor;
tumor adjuvant therapy
- From:
Fudan University Journal of Medical Sciences
2024;51(5):850-856
- CountryChina
- Language:Chinese
-
Abstract:
This article reports a case of primary Müllerian adenosarcoma(MA)of the ovary admitted to the Obstetrics and Gynecology Hospital,Fudan University in 2022,reviews the literature on this rare disease,and shares the experience of its diagnosis and treatment.The patient was a 29-year-old unmarried woman who underwent laparoscopic resection of an ovarian lesion in another hospital.Intraoperatively,it was observed that"the right ovary was enlarged with a cauliflower-shaped mass at the lower pole,measuring about 11 cm×8 cm,unencapsulated,with a fish-like texture,which was completely excised and sent for examination."Postoperative consultation with a(tertiary)hospital in Beijing and our pathology department suggested the diagnosis of ovarian adenosarcoma.Therefore,we performed a comprehensive staged surgery for the patient,i.e.,laparoscopic right salpingo-oophorectomy,cystectomy of the left ovary,omentectomy,multiple peritoneal biopsies,and hysteroscopic resection of cervical canal lesions.The patient received four cycles of postoperative chemotherapy with paclitaxel and ifosfamide.After chemotherapy,the patient has been regular followed up and showed no signs of recurrence during the almost 2-year postoperative follow-up period.
