A Case Report of Giant Bilateral Wolffian Adnexal Tumor
ABSTRACT Background Wolffian adnexal tumor is a rare type of tumor that was first discovered and reported by Karim‐inejad in 1973. Wolffian adnexal tumor lacks specific clinical manifestations and its histological morphology is similar to various other tumors, making it highly prone to misdiagnosis....
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Cancer Reports |
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| Online Access: | https://doi.org/10.1002/cnr2.70084 |
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| author | Ling Huang Yan Zhou Xiaoshan Hong Xiping Luo Min Shen Shanshan Yan Xiaoli Sun |
| author_facet | Ling Huang Yan Zhou Xiaoshan Hong Xiping Luo Min Shen Shanshan Yan Xiaoli Sun |
| author_sort | Ling Huang |
| collection | DOAJ |
| description | ABSTRACT Background Wolffian adnexal tumor is a rare type of tumor that was first discovered and reported by Karim‐inejad in 1973. Wolffian adnexal tumor lacks specific clinical manifestations and its histological morphology is similar to various other tumors, making it highly prone to misdiagnosis. To enhance our understanding of this disease, we hereby report a case of Wolffian adnexal tumor diagnosed and treated in our hospital. Case It is the first report of a giant bilateral Wolffian tumor, with pleural effusion and pericardial effusion as the initial symptoms. Magnetic resonance imaging (MRI) suggested a huge lobulated mass (25.3 × 17.8 × 21.9 cm) in the mid‐lower abdomen and pelvis, involving both ovaries. A diagnosis of “ovarian malignancy” was made before the surgery. Hysterectomy, bilateral adnexectomy, and omentectomy were performed. Postoperative pathology revealed a bilateral Wolffian tumor. Postoperative chemotherapy with a taxol and cisplatin (TP) regimen was administered for six cycles. Follow‐up at 2 months postoperatively showed resolution of pericardial and pleural effusions, and there has been no recurrence during the 3‐year follow‐up period. Conclusion Wolffian adnexal tumor lacks specific clinical manifestations, and its prognosis is good after treatment. |
| format | Article |
| id | doaj-art-331e137efab0413c9f1533e40642b1a4 |
| institution | DOAJ |
| issn | 2573-8348 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Reports |
| spelling | doaj-art-331e137efab0413c9f1533e40642b1a42025-08-20T02:51:14ZengWileyCancer Reports2573-83482024-12-01712n/an/a10.1002/cnr2.70084A Case Report of Giant Bilateral Wolffian Adnexal TumorLing Huang0Yan Zhou1Xiaoshan Hong2Xiping Luo3Min Shen4Shanshan Yan5Xiaoli Sun6Department of Gynaecology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Gynaecology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Gynaecology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Gynaecology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Radiology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Pathology Guangdong Women and Children Hospital Guangzhou ChinaDepartment of Gynaecology Guangdong Women and Children Hospital Guangzhou ChinaABSTRACT Background Wolffian adnexal tumor is a rare type of tumor that was first discovered and reported by Karim‐inejad in 1973. Wolffian adnexal tumor lacks specific clinical manifestations and its histological morphology is similar to various other tumors, making it highly prone to misdiagnosis. To enhance our understanding of this disease, we hereby report a case of Wolffian adnexal tumor diagnosed and treated in our hospital. Case It is the first report of a giant bilateral Wolffian tumor, with pleural effusion and pericardial effusion as the initial symptoms. Magnetic resonance imaging (MRI) suggested a huge lobulated mass (25.3 × 17.8 × 21.9 cm) in the mid‐lower abdomen and pelvis, involving both ovaries. A diagnosis of “ovarian malignancy” was made before the surgery. Hysterectomy, bilateral adnexectomy, and omentectomy were performed. Postoperative pathology revealed a bilateral Wolffian tumor. Postoperative chemotherapy with a taxol and cisplatin (TP) regimen was administered for six cycles. Follow‐up at 2 months postoperatively showed resolution of pericardial and pleural effusions, and there has been no recurrence during the 3‐year follow‐up period. Conclusion Wolffian adnexal tumor lacks specific clinical manifestations, and its prognosis is good after treatment.https://doi.org/10.1002/cnr2.70084bilateralMRIpericardial effusionpleural effusionWolffian tumor |
| spellingShingle | Ling Huang Yan Zhou Xiaoshan Hong Xiping Luo Min Shen Shanshan Yan Xiaoli Sun A Case Report of Giant Bilateral Wolffian Adnexal Tumor Cancer Reports bilateral MRI pericardial effusion pleural effusion Wolffian tumor |
| title | A Case Report of Giant Bilateral Wolffian Adnexal Tumor |
| title_full | A Case Report of Giant Bilateral Wolffian Adnexal Tumor |
| title_fullStr | A Case Report of Giant Bilateral Wolffian Adnexal Tumor |
| title_full_unstemmed | A Case Report of Giant Bilateral Wolffian Adnexal Tumor |
| title_short | A Case Report of Giant Bilateral Wolffian Adnexal Tumor |
| title_sort | case report of giant bilateral wolffian adnexal tumor |
| topic | bilateral MRI pericardial effusion pleural effusion Wolffian tumor |
| url | https://doi.org/10.1002/cnr2.70084 |
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