Journal of Reproductive Health and Contraception

A case of Ovarian cancer

My patient Mrs Khirid Manisha ,43 yr old,nulligravida ,came to opd with complaints of pain in abdomen since 4-5 months,which was incidious in onset, located in the lower abdomen,dull aching, non radiating,no aggrevating or releiving factors. She was admitted in the department od surgery for her above complaints and was posted for a laproscopic cholecystectomy in view of a gall bladder polyp and was disgnosed with bulky ovaries and ascitic fluid tap suggested malignant cells.She also gave a history of loss od appetite and weight.No any bowel or bladder complaints.She was admitted in the departmemnt of obstetric and gyanecology and was posted for exploratory laprotomy.Intraopertaively Evidence of b/l ovarian masses around 8x9 cm with irregular surfaces were noted with involvement of peritoneum • Bilateral Ovarian masses removed and sent for Frozen section which was suggestive of granulosa cell tumour Her histopathology report was suggestive of -Poorly differentiated malignancy of both ovaries with Lymphovascular emboli and differential diagnosis of metastatic adenocarcinoma and  Malignant sex cord stromal tumor was given and IHC advised: CK7, CK20, Inhibin

Gitanjali kumari