title: One-Step Laparoscopic Management of a Female Adnexal Tumor of Wolffian Origin.
abstract: We report a case of female adnexal tumor of Wolffian origin (FATWO), a rare neoplasm arising from the mesonephric ducts. A 48-year-old woman came first to our center for a recent discovery of a pelvic mass. Transvaginal ultrasonographic findings suggested a solid right para-ovarian mass suspected to be malignant. After thorough counseling, the patient underwent operative laparoscopy for excision of the para-ovarian mass with frozen section (FS) examination resulting in the diagnosis of a poorly differentiated adenocarcinoma. In this case, FS results allowed performing a comprehensive oncological staging, through a totally laparoscopic extrafascial hysterectomy, bilateral adnexectomy, total omentectomy, pelvic wall peritonectomy, and pelvic, parasacral and para-aortic lymphadenectomy. Final pathological and immunohistochemical results confirmed the diagnosis of FATWO. To our knowledge, this is the first case of FATWO managed entirely by a minimally invasive laparoscopic approach in a single surgical session.
authors.affiliation: Minimally Invasive Gynecological Surgery Center, Gynecology and Reproductive Medicine Unit, University of Bologna, Bologna, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Seracchioli
authors.forename: M
authors.initials: M
authors.lastname: Mabrouk
authors.forename: S
authors.initials: S
authors.lastname: Solfrini
authors.forename: S
authors.initials: S
authors.lastname: Savelli
authors.forename: G
authors.initials: G
authors.lastname: Caprara
authors.forename: C
authors.initials: C
authors.lastname: Facchini
authors.forename: E
authors.initials: E
authors.lastname: Geraci
authors.forename: S
authors.initials: S
authors.lastname: Del Forno
authors.forename: S
authors.initials: S
authors.lastname: Venturoli