OVARIAN MUCINOUS CYSTADENOMA ASSOCIATED WITH MURAL LEIOMYOMATOUS NODULE AND MASSIVE OVARIAN EDEMA

Mural nodules associated with mucinous and serous tumors of the ovary may represent a reactive process, a benign tumor, or a malignant neopl asm. Mural leiomyomatous nodule in mucinous cystadenoma is extremely r are. Two such cases had been described previously. In this case a 43-y ear-old white female presented with 24-h history of left quadrant pain and a left adenexal cystic mass on ultrasound examination. An explora tory laparotomy revealed a left ovarian mass with torsion on its predi cle. Frozen section of the cystic mass showed a mucinous cystadenoma w ith mural smooth muscle proliferation. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. Histologic examina tion of the mass revealed a mucinous cystadenoma with a mural leiomyom atous nodule and an enlarged ovary with massive stromal edema. This is the first case of a mural leiomyomatous nodule in association with a mucinous cystadenoma in an ovary with massive edema. This case broaden s the histologic spectrum in which a mural leiomyomatous nodule may be encountered. (C) 1998 Academic Press.