Mucinous Ovarian Cancer in a Young Woman: A Case Report
Mucinous ovarian cancer is a rare subtype of epithelial ovarian carcinoma, comprising <5% of all cases. Twenty three years old lady with increasing abdominal fullness and discomfort. Contrast enhanced computed tomography revealed a multiloculated ovoid cystic mass (17.5*21.6*9.1)cm in ri...
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| Language: | English |
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Nepal Medical Association
2025-07-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9145 |
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| author | Radhika Kunwar Beemba Shakya Karishma Malla Vaidya Bibhuti Dahal Shankar Shrivastav |
| author_facet | Radhika Kunwar Beemba Shakya Karishma Malla Vaidya Bibhuti Dahal Shankar Shrivastav |
| author_sort | Radhika Kunwar |
| collection | DOAJ |
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Mucinous ovarian cancer is a rare subtype of epithelial ovarian carcinoma, comprising <5% of all cases. Twenty three years old lady with increasing abdominal fullness and discomfort. Contrast enhanced computed tomography revealed a multiloculated ovoid cystic mass (17.5*21.6*9.1)cm in right adnexa. She underwent staging laparotomy with right salphingo-oophorectomy, peritoneal fluid cytology, bilateral pelvic lymph node dissection, infracolic omentectomy and appendectomy. Histopathology confirmed stage IA, grade 1, (well differentiated) mucinous adenocarcinoma of the ovary. After counseling, patient opted for completion surgery and underwent total abdominal hysterectomy with left salphingo-oophorectomy, repeat peritoneal fluid cytology and supracolic omentectomy. Due to malignant cell in the peritoneal fluid, she received adjuvant chemotherapy. She remains disease-free one year postoperatively. Fertility sparing surgery is oncologically permissible for stage 1A MOC but contraindicated in 1C3 disease. In Nepal, scaling diagnostic capacity, centralizing services, and integrating culturally sensitive councelling are critical to balance fertility preservation with survival.
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| format | Article |
| id | doaj-art-0699298b93e5471ebf14c579c5c52a78 |
| institution | Kabale University |
| issn | 0028-2715 1815-672X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj-art-0699298b93e5471ebf14c579c5c52a782025-08-20T04:02:27ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2025-07-016328810.31729/jnma.9145Mucinous Ovarian Cancer in a Young Woman: A Case ReportRadhika Kunwar0Beemba Shakya 1Karishma Malla Vaidya2Bibhuti Dahal3Shankar Shrivastav 4Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal.Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal. Mucinous ovarian cancer is a rare subtype of epithelial ovarian carcinoma, comprising <5% of all cases. Twenty three years old lady with increasing abdominal fullness and discomfort. Contrast enhanced computed tomography revealed a multiloculated ovoid cystic mass (17.5*21.6*9.1)cm in right adnexa. She underwent staging laparotomy with right salphingo-oophorectomy, peritoneal fluid cytology, bilateral pelvic lymph node dissection, infracolic omentectomy and appendectomy. Histopathology confirmed stage IA, grade 1, (well differentiated) mucinous adenocarcinoma of the ovary. After counseling, patient opted for completion surgery and underwent total abdominal hysterectomy with left salphingo-oophorectomy, repeat peritoneal fluid cytology and supracolic omentectomy. Due to malignant cell in the peritoneal fluid, she received adjuvant chemotherapy. She remains disease-free one year postoperatively. Fertility sparing surgery is oncologically permissible for stage 1A MOC but contraindicated in 1C3 disease. In Nepal, scaling diagnostic capacity, centralizing services, and integrating culturally sensitive councelling are critical to balance fertility preservation with survival. https://www.jnma.com.np/jnma/index.php/jnma/article/view/9145completion surgeryfertility-sparing surgerymucinous adenocarcinoma of ovary |
| spellingShingle | Radhika Kunwar Beemba Shakya Karishma Malla Vaidya Bibhuti Dahal Shankar Shrivastav Mucinous Ovarian Cancer in a Young Woman: A Case Report Journal of Nepal Medical Association completion surgery fertility-sparing surgery mucinous adenocarcinoma of ovary |
| title | Mucinous Ovarian Cancer in a Young Woman: A Case Report |
| title_full | Mucinous Ovarian Cancer in a Young Woman: A Case Report |
| title_fullStr | Mucinous Ovarian Cancer in a Young Woman: A Case Report |
| title_full_unstemmed | Mucinous Ovarian Cancer in a Young Woman: A Case Report |
| title_short | Mucinous Ovarian Cancer in a Young Woman: A Case Report |
| title_sort | mucinous ovarian cancer in a young woman a case report |
| topic | completion surgery fertility-sparing surgery mucinous adenocarcinoma of ovary |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/9145 |
| work_keys_str_mv | AT radhikakunwar mucinousovariancancerinayoungwomanacasereport AT beembashakya mucinousovariancancerinayoungwomanacasereport AT karishmamallavaidya mucinousovariancancerinayoungwomanacasereport AT bibhutidahal mucinousovariancancerinayoungwomanacasereport AT shankarshrivastav mucinousovariancancerinayoungwomanacasereport |