title: Angiosarcoma of the ovary arising in a mucinous cystadenoma.
abstract: We report the case of a 39-year-old woman who presented with a pelvic mass extending into the upper abdomen. Transabdominal sonography revealed a complex left adnexal mass. Color Doppler imaging and spectral Doppler analysis showed increased vascularity with low impedance blood flow signals, suggestive of neovascularization. The patient underwent a laparotomy and a 56-kg predominantly cystic tumor was removed from the left adnexal region. The patient died 3 months later with pulmonary metastases and massive pulmonary hemorrhage. Postmortem resampling of the ovarian tumor initially diagnosed as mucinous cystadenoma showed nodular areas of malignant pleomorphic cells consistent with angiosarcoma.
authors.affiliation: Department of Family and Community Medicine, Paul L. Foster School of Medicine, TX Tech University Health Sciences Center, 9849 Kenworthy, El Paso, TX 79924, USA.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Aragon
authors.forename: Daniel
authors.initials: D
authors.lastname: Terreros
authors.forename: Hoi
authors.initials: H
authors.lastname: Ho
authors.forename: Harvey
authors.initials: H
authors.lastname: Greenberg
authors.forename: Sanja
authors.initials: S
authors.lastname: Kupesic Plavsic
mesh_terms: D000328:Adult; D018291:Cystadenoma, Mucinous / Q000000981:diagnostic imaging* / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006394:Hemangiosarcoma / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D014463:Ultrasonography