Rapidly recurring ovarian fibrosarcoma after optimal debulking surgery in a 46-year-old woman

Hariyono Winarto, Tantri Hellyanti, Sigit Purbadi, Sutrisno Sutrisno

Research output: Contribution to journalArticlepeer-review

Abstract

Ovarian fibrosarcoma is an extremely rare tumour with no universally accepted guidelines for treatment. We present a 46-year-old nulliparous woman with ovarian fibrosarcoma who mainly presented with a painful abdominal enlargement. Optimal debulking surgery was performed, and a specimen of the tumour was examined. A frozen section examined during surgery revealed spindle cell morphology, raising the suspicion of ovarian fibrosarcoma, which was later confirmed by immunohistochemistry staining. Our patient refused to undergo chemotherapy and died 3 months after surgery due to tumour recurrence. Although no clear consensus exists for administering chemotherapy for fibrosarcoma, some published case reports have shown a lower chance of recurrence and better prognosis in patients who undergo chemotherapy compared with our patient.

Original languageEnglish
Article numbere234757
JournalBMJ Case Reports
Volume13
Issue number7
DOIs
Publication statusPublished - 9 Jul 2020

Keywords

  • gynecological cancer
  • oncology
  • surgical oncology

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