Bleeding bilateral ovarian tumor: A rare case report
Barani Karikalan, Madhavan Manoharan, Raja Arif Shah Raja Ismail
Ovarian angiosarcomas are extremely rare and probably either occur as a component of carcinosarcomas or arise from teratoma. Ovarian angiosarcomas are generally unilateral. They can occur at all ages ranging from 7 to 81 years. The tumor favours premenopausal women and usually reported in women of reproductive age group. Very occasional cases are reported in postmenopausal women. We present a case of bilateral ovarian angiosarcoma in a 53-year-old female presented as postmenopausal bleeding. Our patient presented with severe abdominal pain for 3 days with a history of postmenopausal bleeding for the past 18 months. Imaging studies of the abdomen showed degenerative fibroids with complex solid and cystic pelvic mass involving both ovaries. Ascites was also noticed. Patient’s CA 15.3 level was elevated. Microscopic examination of the resected specimen revealed a high grade malignant spindle cell lesion seen to be involving both the ovaries, uterus, fallopian tubes and omentum. Owning to vimentin and CD immuno histo chemical positivity, a diagnosis of epithelioid angiosarcoma involving both ovaries, fallopian tubes and uterus with omental deposits. Involvement of the lungs was also identified in the form of pleural effusion.