An Unusual Presentation of Brenner Tumor from Northern Pakistan

Abstract

A 66-year-old post-menopausal woman presented in oncology department of AECH NORI, with the history of progressively increasing abdominal distension for about 6 months. It was not associated with pain or any other urinary or gynecological symptoms. Her ultrasound abdomen pelvis was done which showed no mass lesion and normal sized ovary on left side while there was a complex lesion measuring 138x12.8x8.2 cm in right adnexa. Right ovary was not separately visualized. Her CT scan showed a large well defined, soft tissue attenuation complex pelvis mass measuring 12.7x10.7x13.8cm in midline slightly more towards right; the lesion had solid as well as cystic components with areas of calcification but no internal fat. No pelvic lymph node enlargement or fluid collection was seen. Patient underwent exploratory laparotomy. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done and peritoneal washings were taken On gross examination the left ovary was 3x1.5x1cm and was attached to fallopian tube, cut surface of the ovary was unremarkable, while the specimen of right ovary comprised of a cyst attached to fallopian tube, the cyst was 14x12 cm and fallopian tube 10x0.3cm in size. It showed solid and cystic areas, it contained yellowish fluid and foci of necrosis were seen.