Author:
de Oliveira e Silva Luisa,Dala Riva Ana Carolina,Martins Batista Lopes Bruna Mariah,Canhete Machado Gabriel,Alves de Carvalho Gláucia,Messia Castro Costa Liana,Cardoso Crocetta Daniella,da Silva Sposito Manuela,de Oliveira Castro Carolina,Vinadé Portela Juliana,Braga Hochmuller Dorval,Lagranha Tramunt Marilia
Abstract
This case report describes a rare instance of spindle cell neoplasia in the ovaries of a 40-yearold female patient with a history of chronic pelvic pain. The patient presented with bilateral ovarian masses, identified via magnetic resonance imaging and transvaginal ultrasound, which were highly suggestive of malignancy (O-RADS 5). Histological analysis postvideolaparoscopy confirmed spindle cell neoplasia with moderate atypia and a low mitotic index, favoring a diagnosis of high-grade sarcoma in both ovaries. The patient underwent a type 1 hysterectomy, bilateral oophorectomy, and omentectomy, leading to significant postoperative pain relief. Due to the aggressive nature of the tumor, ongoing oncological follow-up was recommended. This report highlights the rarity of spindle cell tumors in the ovaries and underscores the importance of radical surgery combined with adjuvant therapies to manage the potential for recurrence and metastasis
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