Endometrioid borderline ovarian tumor in the presence of endometriosis

Bairamova N.N., Protasova A.E., Raskin G.A., Vandeeva E.N., Kuzmina N.S., Yarmolinskaya M.I., Orlova R.V., Ovodenko D.L.

1 Saint Petersburg State University, Saint Petersburg 199034, Universitetskaya Emb. 7-9, Russia; 2 V.A. Almazov North-Western Federal Medical Research Center, Ministry of Health of Russia, Saint Petersburg 197341, Akkuratova str. 2, Russia; 3 Russian Research Center of Radiology and Surgical Technologies, Ministry of Health of Russia, Saint Petersburg 197758, Leningradskaya str. 70, Russia; 4 Academician I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg 197022, Lva Tolstogo str. 6-8, Russia; 5 I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia, Saint Petersburg, Russia; 6 Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia; 7 D.O. Ott Research Institute of Obstetrics, Gynecology, and Reproductology, Saint Petersburg, Russia
Background. Endometrioid borderline ovarian tumors are relatively rare, representing a few observations in world literature. The data of both Russian and foreign authors on the clinical course of the disease are extremely limited.
Case report. The paper describes a clinical case of endometrioid borderline ovarian tumor in a reproductive-aged patient. After morphological verification of the primary tumor, organ-sparing surgery was performed as a second stage. No signs of disease progression were revealed dueing a follow-up of the patient.
Conclusion. A case of the clinical course of the disease in the patient with endometrioid borderline ovarian tumor is presented. The findings suggest that organ-sparing surgery can be performed in reproductive-aged women with this disease if the neoplasm is morphologically and immunohistochemically verified.

Keywords

endometrioid borderline ovarian tumor
endometriosis
organ-sparing treatment

Supplementary Materials

  1. Fig. 1. Cystic neoplasm of the left ovary according to the ultrasound of the pelvic organs
  2. Fig. 2. Micro-preparations of endometriotic borderline tumor. A. Staining with hematoxylin and eosin, uv. x200. B. Expression of estrogen receptors, increase x200. V. Ki-67, increase x200. D. Focus in situ, staining with hematoxylin and eosin, increase x400

References

1. Bell K.A., Kurman R.J. A clinicopathologic analysis of atypical proliferative (borderline) tumors and well-differentiated endometrioid adenocarcinomas of the ovary. Am. J. Surg. Pathol. 2000; 24(11): 1465-79.

2. Roth L.M., Emerson R.E., Ulbright T.M. Ovarian endometrioid tumors of low malignant potential: a clinicopathologic study of 30 cases with comparison to well-differentiated endometrioid adenocarcinoma. Am. J. Surg. Pathol. 2003; 27(9): 1253-9.

3. Uzan C., Dufeu-lefebvre M., Fauvet R., Gouy S., Duvillard P., Darai E., Morice P. Management and prognosis of borderline ovarian Brenner tumors. Int. J. Gynecol. Cancer. 2012; 22(8): 1332-6. doi: 10.1097/IGC.0b013e318267db2f.

4. Hauptmann S., Friedrich K., Redline R., Avril S. Ovarian borderline tumors in the 2014 WHO classification: evolving concepts and diagnostic criteria. Virchows Archiv. 2016; 470(2): 125-42. doi: 10.1007/s00428-016-2040-8.

5. Давыдова И.Ю., Кузнецов В.В., Карселадзе А.И., Мещерякова Л.А. Пограничные опухоли яичников: современный взгляд на проблему. Опухоли женской репродуктивной системы. 2014; 2: 53-5. doi: 10.17650/1994-4098-2014-0-2-53-55. [Davydova I.Y., Kuznetsov V.V., Karseladze A.I., Meshcheryakova L.A. Borderline ovarian tumors: а modern view of the problem. Tumors of female reproductive system. 2014; (2): 53-5. (in Russian) DOI:10.17650/1994-4098-2014-0-2-53-55]

6. Trillsch F., Ruetzel J.D., Herwig U., Doerste U., Woelber L., Grimm D. et al. Surgical management and perioperative morbidity of patients with primary borderline ovarian tumor (BOT). J. Ovarian Res. 2013; 6(1): 48. doi: 10.1186/1757-2215-6-48.

7. Fischerova D., Zikan M., Dundr P., Cibula D. Diagnosis, treatment, and follow-up of borderline ovarian tumors. Oncologist. 2012; 17(12): 1515-33. doi: 10.1634/theoncologist.2012-0139.

8. Новикова Е.Г., Шевчук А.С. Современные подходы к лечению больных с пограничными опухолями яичников. Онкогинекология. 2014; 4: 45-58. [Novikova E.G., Shevchuk A.S. Modern approaches to the treatment of patients with borderline ovarian tumors. Onkoginekologiya. 2014;(4):45-58. (in Russian)]

9. Kurman R.J., Carcangiu M.L., Herrington C.S., Young R.H., eds. WHO classification of tumours of female reproductive organs. WHO/IARC classification of tumours. 4th ed. vol. 6. Lyon: IARC Press; 2014.

10. Kurman R.J., Shih Ie.M. The dualistic model of ovarian carcinogenesis revisited, revised, and expanded. Am. J. Pathol. 2016; 186(4): 733-47. doi: 10.1016/j.ajpath.2015.11.011.

11. Snyder R.R., Norris H.J., Tavassoli F. Endometrioid proliferative and low malignant potential tumors of the ovary. A clinicopathologic study of 46 cases. Am. J. Surg. Pathol. 1988; 12(9): 661-71.

12. Gershenson D.M. Management of borderline ovarian tumours. Best Pract. Res. Clin. Obstet. Gynaecol. 2017; 41: 49-59. doi: 10.1016/j.bpobgyn.2016.09.012.

13. Chen R.F., Li J., Zhu T.T., Yu H.L., Lu X. Fertility-sparing surgery for young patients with borderline ovarian tumors (BOTs): single institution experience. J. Ovarian Res. 2016; 9: 16. doi: 10.1186/s13048-016-0226-y.

14. Bell D.A., Scully R.E. Atypical and borderline endometrioid adenofibromas of the ovary. A report of 27 cases. Am. J. Surg. Pathol. 1985; 9(3): 205-14.

Received 04.10.2017

Accepted 27.10.2017

About the Authors

Bairamova Nurana, Ph.D. student, Faculty of Medicine, Department of Oncology, Saint Petersburg State University.
199034, Russia, St. Petersburg, Universitetskaya Emb. 7-9. Tel.: +79110232111. E-mail: nurana.bayramova@yandex.ru
Protasova Anna, PhD, Professor, Saint Petersburg State University; Professor, Department of Obstetrics and Gynecology, V.A. Almazov North-Western Federal Medical Research Center, Ministry of Health of Russia, Saint Petersburg; Head of Department of Oncology, AVA-Peter.
199034, Russia, St. Petersburg, Universitetskaya Emb. 7-9. Tel.: +79219198424. E-mail: protasova1966@yandex.ru
Raskin Grigory, PhD, Head of Department of Pathology, Russian Research Center of Radiology and Surgical Technologies, Ministry of Health of Russia.
197758, Russia, St. Petersburg, Leningradskaya str. 70. Tel.: +79633461167. E-mail: rasking@list.ru
Vandeeva Ekaterina Nikolaevna, Ph.D. student, V.A. Almazov North-Western Federal Medical Research Center, Ministry of Health of Russia.
197341, Russia, St. Petersburg, Akkuratova str. 2. Tel.: +79216530978. E-mail: katvan1983@mail.ru
Kuzmina Natalia, Ph.D. student, Academician I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia; Head of Department
of Gynecological Surgery, AVA-Peter. 197022, Russia, St. Petersburg, Lva Tolstogo str. 6-8. Tel.: +79217592085. E-mail: dok.kuzmina@gmail.com
Orlova Rashida, PhD, Professor, Head of Department, Saint Petersburg State University.
199034, Russia, St. Petersburg, Universitetskaya Emb. 7-9. Tel.: +79313674656. E-mail: orlova_rashida@mail.ru

For citations: Bairamova N.N., Protasova A.E., Raskin G.A., Vandeeva E.N., Kuzmina N.S., Yarmolinskaya M.I., Orlova R.V., Ovodenko D.L. Endometrioid borderline ovarian tumor in the presence of endometriosis. Akusherstvo i Ginekologiya/
Obstetrics and Gynecology. 2018; (2): 140-4. (in Russian)
https://dx.doi.org/10.18565/aig.2018.2.140-144

Similar Articles

By continuing to use our site, you consent to the processing of cookies that ensure the proper functioning of the site.