OVARY - Mucinous cyst, adenocarcinoma

Specimen is an ovarian tumour measuring 21 cm in maximum extent. The tumour is multiloculated and several of the cysts are lined by fibrinopurulent material. Focal areas of haemorrhage are also seen. There is a large solid area of tumour on the left side of the specimen, this shows cystic degeneration. Histologically the tumour had the appearance of a mucinous cyst adenocarcinoma.
This 49 year old female presented with an abdominal mass and underwent oophorosalpingohysterectomy for a large left sided mucinous cyst adenocarcinoma of the ovary. Metastatic tumour was noted in the large bowel mesentery. The patient underwent a course of chemotherapy and died of recurrent disease six months after initial diagnosis.