Primary trabecular neuroendocrine tumor (carcinoid) of the ovary: a clinical case report
Clinical Practice
Linas Andreika
Vilius Rudaitis
Published 2017-11-21
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Keywords

Trabecular neuroendocrine tumor
ovarian neuroendocrine tumor
NET
ovarian carcinoid

How to Cite

1.
Andreika L, Rudaitis V. Primary trabecular neuroendocrine tumor (carcinoid) of the ovary: a clinical case report. LS [Internet]. 21 Nov. 2017 [cited 23 May 2019] ;16(3-4):212-8. Available from: http://www.journals.vu.lt/lietuvos-chirurgija/article/view/11035

Abstract

Primary neuroendocrine tumors (carcinoid) of the ovary are very rare neoplasms. They are subdivided into four categories: insular (isolated), trabecular, strumal and mucinous. Trabecular type is one of the least common. It is not associated with carci­noid syndrome and has a good survival rate. We present a case of a 36 years old woman who was diagnosed with a left ovary well differentiated trabecular neuroendocrine tumor and a right ovary mucinous cystadonema. The diagnosis was made after a left ovary biopsy was taken during a laparoscopic cystectomy of the right ovary. Immunohistochemical staining showed positivity for Chromogranin A, Synaptophysin and Ki67 proliferation index was >5%. A laparoscopic left salpingoovarectomy, myomectomy, omentum biopsy, left pelvic and paraaortic lymphadenectomy was performed for surgical staging purposes. The final hystological examination showed no signs of the neuroendocrine tumor. A thorough inspection of an organ system during surgery led to an incidental detection of a small but life threatening neuroendocrine tumor and full patient examina­tion. 1 year after the diagnosis was established there are no signs of disease progression.

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