High malignant female adnexal tumor of probable wolffian origin (FATWO): A case report.

Lee, Ji Eun; Kwon, Yong Soon; Koo, Yu Jin; Hong, Sung Ran

doi:2010.53.1.75

Obstet Gynecol Sci > Volume 53(1); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(1):75-79.
DOI: https://doi.org/10.5468/kjog.2010.53.1.75 Published online January 1, 2010.

High malignant female adnexal tumor of probable wolffian origin (FATWO): A case report.

Ji Eun Lee, Yong Soon Kwon, Yu Jin Koo, Sung Ran Hong

¹Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, College of Medicine, Kwandong University, Seoul, Korea. kbongchun@hanmail.net
²Department of Pathology, Cheil General Hospital and Women's Healthcare Center, College of Medicine, Kwandong University, Seoul, Korea.

Abstract

Female adnexal tumors of probable Wolffian origin (FATWO) are rare. Although the histological features of the benign tumors are recognized, features of malignancy are not well defined in published work because these tumors are particularly rare. In this study, we report a 52-year-old woman with a High malignant FATWO. The frozen biopsy of the fragile uterine mass, located at the left broad ligament, revealed a malignant FATWO with high mitotic figure (up to 36/10 HPF). The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, omentectomy, and paraaortic and pelvic lymph node dissection. Pathologic findings were consistent with malignant FATWO infiltrating to the unilateral salpinx without lymph node metastasis. The patient received three cycles of adjuvant treatment with paclitaxel and carboplatin. There was no clinical evidence of recurrence during the 12 months of follow-up; the patient is currently still being followed-up.

Key Words: Malignant, Female adnexal tumor, Wolffian origin