ATYPICAL PROLIFERATING MUCINOUS TUMOR (Mucinous tumor of Borderline Malignancy),

[jhenny888]

Listed below are the results of my biopsy.. can anyone help me and explain some medical terms here that i dont understand. should i go for a chemo? is this cancer? hope someone wud help me... thank you


Specimen: Ovary

Diagnosis: ATYPICAL PROLIFERATING MUCINOUS TUMOR
(Mucinous tumor of Borderline Malignancy), right ovary
No findings of pathologic significance, right fallopian tube

Gross and Microscopic Description:
Specimen consists of previously sectioned ovary measures 19.5 x 18.5

cm. with attached fallopian tube measuring 9 cm in length. It is fluctuant with a

tense smooth capsule. Cut section shows a unilocular cystic cavity with a few

solid area in the wall. The cavity contains thick mucoid fluid.

Specimen shows a cyst lined by single layer of musin secreting tumors

in most areas. Focal areas shows increasing epithelial proliferation, some

glandular buds and a tendency towards more complex glandular pattern. Variable

atypie, are noted in the cells. Definite stroma invasion is absent. They are noted

deep down into the wall but there is not stromal reaction to indicate invasion.

The fallopian tube tube is unremarkable.


___________________________________

Specimen: Ovarian fluid

Diagnosis: NO EVIDENCE OF MALIGNANCY, ovarian fluid

Gross and Microscopic Description:
Smear and cell block is hypocellular showing mostly epithelial occuring

singly that contains mucin. The nuclei do not exhibit any form or atypia.

[jhenny888]

Yes, i had my surgery last December 2007.. my left ovary and fallopian tube were removed. The OB/GYN also found out that there is another small cyst in my right ovary, about 1 cm in size. and i have my follow up check up on Feb. 2008 for monitoring in my right ovary... thank you for your comments and suggestions... I am 22 years old and single. my OB GYN said that i need to marry as soon as possible..

[Casey06]

Also, for mucinous tumors, they typically like to remove the appendix and do pathology, becuase it can be the source. Did a gyn onc do your surgery, if not you should be referred to one for follow-up.
I had a borderline mucinous tumor and the gyn onc I am seeing for followup said the following. Recurrance can happen (about 10% chance) and often can be full malignant. My follow-up is every 4 months for 2 years then yearly forever, because recurrance can happen 10, 20 or more years out. CA-125 is used for follow-up. Did you have an elevated count pre-surgery? I would also have path slides sent to second facility to confirm borderline dx.

Take care.

[hopeshell]

This is good news for you.  Borderline ovarian cancer has an excellent prognosis.  You won't need chemo but should have close follow-up (same as for early staged ovarian cancer - every 3 months).  Most seem to consider it ovarian cancer because it can recur and can cause death but for the most part it behaves in a benign manner.  If you haven't already had the other ovary removed you may want to talk to your dr. about it if you aren't trying to preserve fertility.  Good luck to you.  Sounds like a good outcome as far as ovca goes.