An ovarian tumor of probable wolffian origin: Case report in the youngest patient and review of the literature / 대한산부인과학회지

A female adnexal tumor of probable Wolffian origin (FATPWO) is a rare neoplasm believed to originate from Wolffian remnants because the tumors are located in areas where such remnants are abundant. Because FATPWO is so rare that tumor biological behavior is not well defined, especially in cases of ovarian tumors, the collection and investigation of all relevant data, including this case report, are thus crucial to identify the best possible treatment for this type of tumor. We report a 14-year-old girl presented with a huge ovarian tumor that is reminiscent of dysgerminoma on CT scan. Left salpingo-oophorectomy was perfomed. Because the pathologic report on frozen section was malignant neoplasm, additional surgical staging was performed. A ovarian tumor of probable Wolffian origin was diagnosed by the pathologist, finally. No adjuvant therapy was given and there was no clinical evidence of recurrence during the 19 months of follow-up.

Female adnexal tumor of probable Wolffian origin: A Case Report / 대한산부인과학회지

Female adnexal tumors of probable Wolffian origin (FATPWO) were first reported in 1973 and the disease is a rare clinical entity. They are often found in the leaves of the broad ligament, ovary and paravaginal tissue. We report a 40-year-old woman who presented with both adnexal masses filling the pelvic cavity which were hard and fixed on palpation, and the masses were radiologically diagnosed as both ovarian fibroma-thecomas on the CT scan. The left adnexal mass was surgically excised and pathologically proved to be fibroma, the left adnexal mass was excised and pathologically proved to be FATPWO.