RARE CASE OF INCIDENTALLY DIAGNOSED PRIMARY INSULAR OVARIAN CARCINOID

Dr. R. Sindura Ganga; Dr. Aparna Rajesh; Dr. Harish Shetty

Volume : VII, Issue : II, February - 2017

RARE CASE OF INCIDENTALLY DIAGNOSED PRIMARY INSULAR OVARIAN CARCINOID

Dr. R. Sindura Ganga, Dr. Aparna Rajesh, Dr. Harish Shetty

Abstract :

INTRODUCTION: Carcinoids account to approximately 0.1% of the ovarian neoplasms,and among carcinoid clan they are found in 1% of cases. Primary ovarian carcinoids are most asymptomatic (40–60%), unilateral (stage I disease). CASE REPORT: 59yr old, with 8yrs of menopause, came with complaints postmenopausal bleeding. On evaluation USG abdomen showed Uterus measuring 10.4X6cm, ET=8mm with multiple fioids, right ovarian cyst measuring 2.8X3cm.D&C showed features of simple endometrial hyperplasia.CA125 was normal. She underwent Total Abdominal Hysterectomy and Bilateral Salphingoophorectomy. Histopathology report: Simple hyperplasia of endometrium, Focal adenomyosis and fioid uterus, Right ovary revealed features suggestive of ?Juvenile Granulosa Cell tumor/ ?Neuroendocrine tumor of ovary. Immunohistochemistry showed positive for Pan CK, Synaptophysin, Chromogranin and Ki–69 was <1%, confirmed diagnosis of Well differentiated Neuroendocrine tumor of Ovary. Gastrointestinal. CONCLUSION: Surgical management is the mainstay for the treatment of primary ovarian carcinoid. At present there is no consensus on the role of chemotherapy.