Angiosarcoma of the ovary arising in a mucinous cystadenoma

✍ Scribed by Lorenzo Aragon; Daniel Terreros; Hoi Ho; Harvey Greenberg; Sanja Kupesic Plavsic

• Publisher: John Wiley and Sons
• Year: 2011
• Tongue: English
• Weight: 172 KB
• Volume: 39
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.20821

✦ Synopsis

Abstract

We report the case of a 39‐year‐old woman who presented with a pelvic mass extending into the upper abdomen. Transabdominal sonography revealed a complex left adnexal mass. Color Doppler imaging and spectral Doppler analysis showed increased vascularity with low impedance blood flow signals, suggestive of neovascularization. The patient underwent a laparotomy and a 56‐kg predominantly cystic tumor was removed from the left adnexal region. The patient died 3 months later with pulmonary metastases and massive pulmonary hemorrhage. Postmortem resampling of the ovarian tumor initially diagnosed as mucinous cystadenoma showed nodular areas of malignant pleomorphic cells consistent with angiosarcoma. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011;