6533b7d6fe1ef96bd12663fe

RESEARCH PRODUCT

Invasive ovarian seromucinous carcinoma developed on an endometrioma. The determining role of transvaginal ultrasound

subject

description

Endometriosis is a chronic inflammatory disease that has been associated with an increased risk of ovarian cancer, especially epithelial tumors. Transvaginal ultrasound is a first-line diagnostic method for the assessment of endometriosis, and of endometriomas, the ovarian cystic form of endometriosis. Endometriomas usually have typical ultrasound features that allow them to be easily diagnosed. When atypical images are observed, such as solid areas with vascular flow, their malignancy should be ruled out, especially in peri-menopausal women. Early diagnosis of these tumors is essential because immediate surgical treatment is crucial for prognosis. Malignant neoplasms associated with endometriomas are, in the vast majority of cases, clear cell and endometrioid adenocarcinomas. In some cases seromucinous tumors have been described, but mainly in their borderline stage. A case is presented in which a patient developed an invasive seromucinous ovarian neoplasm on an endometrioma.