Concurrent serous and mucinous cystadenomas in bilateral ova
Published in the Journal of Obstetrics and Gynaecology of India, the authors highlight a case of bilateral ovarian cystadenomas of serous and mucinous histotypes. According to the authors, this case is only the second of its kind to be described in the literature.

A 55-year-old postmenopausal woman presented with vague lower abdominal pain since past 7 months. Her abdomino-pelvic palpation and per-vaginal examination failed to detect any relevant pathology.

Pelvic ultrasonography reported a normal endo-myometrial echotexture, with conjugal presence of a left ovarian cystadenoma and another simple right ovarian cyst (Fig. 1a). Serum CA-125 was estimated as 12 U/ml (normal: <35 U/ml). Subsequently, the patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy.

On histopathology, the left ovarian cysts were lined by single-layer tubal-type epithelium. It exhibited the characteristic presence of secretory cells with elongated nuclei and ciliated cells with rounded nuclei. At places, the epithelium was also flattened. Straightaway, the diagnosis was serous cystadenoma.

On the other hand, the right-sided cyst was lined by mucinous columnar epithelium with their nuclei pushed toward the base. The thick part of cyst wall bore multiple closely apposed small mucus glands, dispensed within cellular fibrotic stroma. Therefore, it was diagnosed as mucinous cystadenoma.

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