Korean Journal of Gynecologic Oncology and Colposcopy  1996;7(3):243-247

A Case of Ovarian Mucinous Cystadenocarcinoma with Mural Nodule of Anaplastic Carcinoma.

Mee Sook ROH ; Sook Hee HONG ; Tai Young HWANG ; Hyun Ho KIM ; Goo Hwa JE

Keywords

Mucinous cystadenocarcinoma; Sarcoma-like mural nodule; Anaplastic carcinoma; Ovary

Country

Republic of Korea

Language

Korean

Abstract

Mural nodules in ovarian mucinous tumors, whether benign, borderline, or malignant, have been described by several authors since Prat and Scully first described sarcoma or sarcoma-like mural nodules occurring in association with mucinous epithelial neoplasia in 1979. Three distinct types of the mural nodule have been identified; i. e., 1) sarcoma-like lesion, 2) true mesenchymal sarcome, and 3) anaplastic carcinoma simulating a sarcoma. Mural nodules of sarcomatous and carcinomatous foci associated with mucinous ovarian tumors should be separated from sarcoma-like nodules because of the poor prognosis of the former compared to the favorable prognosis of the latter. We experienced a case of ovarian mucinous cystadenocarcinoma with sarcoma-appearing mural nodule of anaplastic carcinoma occurred in a 59-year-old woman and reported with brief review of the literatures.