A rare case of giant mucinous cystadenocarcinoma of the right ovary with metastatic deposits and Brenner tumor in the left ovary

Ovarian cancer is the second most common gynecological malignancy. Mucinous tumor accounts for 3% of ovarian tumors and is a challenging task for a surgical pathologist. Association of Brenner tumor, a subtype of epithelial malignancy is a rare entity reported in the literature. Herein, we report a unique case of a 57-years old post-menopausal woman who presented with progressive abdominal distention for 3 years and constipation for 1 year. Clinically, it was suspected as a case of complex ovarian cyst and the patient underwent staging laparotomy. Intraoperatively, a giant mucinous cystadenocarcinoma of the right ovary with deposits in the pouch of Douglas, omentum, umbilical, and the sub-umbilical region was found along with a benign Brenner tumor of the left ovary.

A Rare Case of Urethral Fibroid.

Leiomyomas are benign mesenchymal tumours that arise from the smooth muscle, mostly located in genital tract. M/C site of leiomyoma is uterus. (1) Leiomyoma arising from urethra are rare. Leiomyomas are most commonly seen in uterus. (2) Extra uterine leiomyomas are usually seen arising from vulva, ovaries, urethra, urinary bladder, GIT, and Vagina. (3) Leiomyoma of urethra is a rare benign mesenchymal tumor that affects women more often than men. Usually located in proximal urethra, seen in reproductive age group (mean age 41 yrs.) with possible hormone dependence. Presents with a variety of symptoms include – UTI, urinary retention, mass per urethra, dysuria. Diagnosis is by USG, MRI (4) confirmed by HPE. Complete surgical excision is the treatment of choice, recurrence is rare.