OVARIAN SEROUS PAPILLARY CYSTADENOCARCINOMA STAGE-IIIC IN 19-YEAR-OLD

In mature women, the most common histological cell type of ovarian can cer is of epithelial origin. In children and adolescents, germ cell tu mors are the most frequent. We report a case of a serous papillary cys tadenocarcinoma FIGO stage IIIC in a 19-year-old female. She presented with a 6-month history of vague lower abdominal pain. Preoperative CA -125 was elevated at 296 kU/liter. At laparotomy, she was found to hav e stage IIIC disease. A debulking procedure including total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and lymph node sampling was performed. The immediate postoperative course was co mplicated by fulminant disseminated intravascular coagulopathy. She wa s subsequently treated with six courses of cyclophosphamide and carbop latin. Twenty-four months after surgery, the patient has no evidence o f disease despite an increased CA-125 of 51 kU/liter. (C) 1997 Academi c Press.