One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin

We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to...

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Bibliographic Details
Published in:Case reports in oncology 2010-11, Vol.3 (3), p.428-433
Main Authors: Seracchioli, R., Mabrouk, M., Solfrini, S., Savelli, S., Caprara, G., Facchini, C., Geraci, E., Del Forno, S., Venturoli, S.
Format: Article
Language:English
Subjects:
Adnexal mass
Frozen sections
Gynecological oncology
Laparoscopy
Minimally invasive approach
Published: November 2010
Ultrasound
Wolffian tumor
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Summary:We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to be malignant. After thorough counseling, the patient underwent operative laparoscopy for excision of the para-ovarian mass with frozen section (FS) examination resulting in the diagnosis of a poorly differentiated adenocarcinoma. In this case, FS results allowed performing a comprehensive oncological staging, through a totally laparoscopic extrafascial hysterectomy, bilateral adnexectomy, total omentectomy, pelvic wall peritonectomy, and pelvic, parasacral and para-aortic lymphadenectomy. Final pathological and immunohistochemical results confirmed the diagnosis of FATWO. To our knowledge, this is the first case of FATWO managed entirely by a minimally invasive laparoscopic approach in a single surgical session.
ISSN:1662-6575
1662-6575
DOI:10.1159/000322204