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KMID : 0357920110450010096
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Korean Journal of Pathology
2011 Volume.45 No. 1 p.96 ~ p.100
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A Case of Ovarian Microinvasive Mucinous Carcinoma and Co-existent Angiosarcoma
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Heo Jin-Hyung
Lee Yoon-Hee
Kim Gwang-Il
Kim Tae-Heon
Kang Hae-Youn
An Hee-Jung
Yoon Bo-Sung
Seong Seok-Ju
Park Hyun
Kim Ji-Young
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Abstract
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Primary ovarian angiosarcoma is very rare with only 27 cases reported so far in the medical literature. We report here on a rare case of ovarian microinvasive mucinous carcinoma that was coexistent with angiosarcoma in a 54-year-old woman. The tumor was a 26×19×10 cm-sized multilocular cystic mass with a 4×3 cm-sized solid hematoma-like nodule in the center. Microscopically, it was composed mostly of mucinous tumor of various grades from borderline to microinvasive carcinoma. The hematoma-like area turned out to be an angiosarcoma, composed of pleomorphic cells that formed slit-like spaces, spindle cells that formed short fascicles and anastomosing vascular channels with atypical endothelial cells. All these cells were positive for CD31, CD34 and factor VIII-related antigen. The patient developed peritoneal and pleural metastases, which were angiosarcoma and mucinous carcinoma, respectively. We believe this case is only the fourth example of an ovarian collision tumor of angiosarcoma and surface epithelial tumor.
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KEYWORD
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Hemangiosarcoma, Cystadenocarcinoma, mucinous, Ovary
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