Abstract
Background
Borderline ovarian tumors (BOT) are rare ovarian tumors that present at a younger age than other ovarian carcinomas. These tumors present a challenge given the complex diagnostic and surgical considerations that need to be navigated for patient care. Notably, fertility sparing among younger woman is preferable surgically but may place patient at a higher rate of recurrence. The purpose of this report is to review the work-up and surgical management of an extra-gonadal endometroid BOT.
Case Presentation:
Patient is a 32-year-old female with history of polycystic ovary syndrome, type II diabetes mellitus, and morbid obesity who presented with abdominal pain and vomiting. She underwent extensive work-up including computer tomography (CT), magnetic resonance imaging (MRI), transvaginal ultrasound (TVUS), colonoscopy, and diagnostic laparoscopy. After multidisciplinary discussion, this was managed with oncologic en bloc resection of the lesion and adherent colon. In order to maintain fertility, her ovaries and uterus were spared. She continued with surveillance and at three month follow up had no evidence of disease. The purpose of this report is to review the work-up and surgical management of an extra-gonadal endometroid BOT.
Conclusions
This report reviews the work-up and surgical management of an extra-gonadal endometroid BOT to inform clinicians on management of these rare tumors.