Abstract

ASSOCIATION OF OVARIAN AND APPENDICEAL MUCINOUS TUMOR: CASE REPORT AND PRACTICAL IMPLICATIONS

Dr. Badia Ziouani*, Dr. Echiguer Sabrillah, Pr. Hafid Hachi, Pr. Tijami Fouad, Dr. Belkouchi Fatima Zahra and Pr. Elbahaoui Nezha

Abstract

The presence of a mucinous tumor suggests a primary appendiceal origin with ovarian metastasis, which is the most common form. However, the presence of synchronous mucinous tumors of the ovary and appendix is infrequent and scarcely described in the literature. The diagnosis is primarily histological. Recent studies have shown the role of immunohistochemical and genetic studies in improving and confirming the diagnosis in cases of doubt. Surgical management is based on the resection of the largest feasible portion of the tumor. An appendectomy is systematically performed even if the appendix appears macroscopically normal. Additional chemotherapy may be proposed as adjuvant treatment. In this study, we present the case of a 58-year-old patient who presented with pelvic pain and abdominal distension. Radiological examination revealed a left ovarian mass with a double component and peritoneal effusion. Exploration revealed a left ovarian mass, gelatinous abdominal effusion, and a normallooking contralateral ovary and appendix. Pathological examination noted the presence of synchronous mucinous tumors of the appendix and ovary. The patient underwent surgical treatment followed by chemotherapy.

Keywords: ovary – appendix - synchronous mucinous neoplasm- genetic analysis – surgery treatment.