Ovarian strumal carcinoid containing appendiceal-type mucinous tumor patterns presenting as pseudomyxoma peritonei

International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists
Enoe QuiñonezFrancisco F Nogales

Abstract

We report for the first time a case of ovarian strumal carcinoid containing both trabecular carcinoid and mucinous glands lined by both goblet and neuroendocrine cells and a low-grade mucinous neoplasm that presented clinically as pseudomyxoma peritonei in the absence of appendiceal lesion in a 58-yr-old woman. Histologically, there were both a tall columnar cell epithelial component lacking neuroendocrine cells, showing the scalloped contours and subepithelial clefts of low-grade appendiceal-type neoplasms and a mixed goblet cell neuroendocrine element. Characteristically, both reproduced appendiceal neoplastic phenotypes in a teratoid fashion. In addition, we present previously unreported oncocytic and mucinous changes in the thyroideal components of strumal carcinoid. This case represents a rare instance of pseudomyxoma peritonei of primary ovarian origin and is an example of multiple somatic teratoid endodermal differentiations of the different sections of the embryonal gut: foregut represented by thyroid, midgut by both mucinous appendiceal components, and hindgut by trabecular carcinoid.

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Citations

Nov 27, 2015·The Journal of Obstetrics and Gynaecology Research·Na Rae KimHyun Yee Cho
Jul 13, 2016·Journal of the Egyptian National Cancer Institute·Islam H MetwallyReham M Abdelghani
Nov 5, 2015·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·Alejandro RubioFrancisco F Nogales
Oct 7, 2020·Medicine·Li-Rong ZhaiMan-Hua Cui

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Methods Mentioned

BETA
hysterectomy
dissecting

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