Abstract

ENDOMETRIOID OVARIAN ADENOCARCINOMA: A CASE OF COMPLEX DIAGNOSIS AND SURGICAL MANAGEMENT IN A POSTMENOPAUSAL PATIENT

Loubna Slama*, Hafsa Taheri, Zainab Chatbi, Ibtissam Bellajdel, Hanane Saadi and Ahmed Mimouni

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Abstract

We report the case of a 53-year-old postmenopausal patient with a history of type II diabetes and a previous uterine polypectomy, who presented with subacute pelvic pain. Imaging, including pelvic ultrasound and MRI, revealed a large right ovarian mass with both tissue and cystic components, suggesting a complex pathology. Following laparoscopy, a right oophorectomy with multiple biopsies was performed. The pathological diagnosis confirmed an endometrioid ovarian adenocarcinoma arising from an endometriotic cyst. A total hysterectomy and lymph node dissection were subsequently carried out, with a favorable outcome. This case highlights the importance of imaging and early diagnosis in managing ovarian masses in postmenopausal women.

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