PMC10090370_01
Ultrasonography (USG) image showing a cist with regular thin walls and heterogeneous, thick content, without vascular expression on Doppler.
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F1
It measured 14.5 cmx14 cmx10.4 cm (Figure 1).
Magnetic resonance (MR) image showing a large ovarian cystic formation on the right in axial view.
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F2
Additionally, magnetic resonance imaging (MRI) of the pelvis was performed on 22 May 2019 (Figure 2), confirming a voluminous, complex, multiloculated, right ovarian cystic formation with some areas of hemorrhagic content, measuring 17 cmx12 cmx18 cm (1920 cc estimated volume), without a fat component, compatible with a primary ovarian lesion.
Intraoperative: macroscopic aspect of the right ovarian cystic tumor, with intact capsule, appearing through the surgical incision.
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F3
At 14 weeks and 5 days of pregnancy, on 5 June 2019, she underwent a right salpingo-oophorectomy (Figure 3), with no implants during revision of peritoneal cavity, and peritoneal fluid was collected for cytology without clinical and surgical complications.
Histological patterns showing a proliferation of atypical intestinal-type glands with glandular complexes displaying an infiltrative stromal pattern.
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F4
The pathology evaluation (AP) showed (Figure 4) an intestinal-type mucinous adenocarcinoma with an infiltrative stromal invasion pattern, moderately differentiated (G2) with an intact capsule, absence of neoplastic cells on the surface, and restriction of the tumor to the ovary.
PMC10090370_02