Origin:- The following diverse modes of origin of mucinous cyst adenoma are described:
- It arises from the totipotent surface epithelium of the ovary.
- Its association with Brenner tumor suggests its origin as mucinous metaplasia of the epithelioid cells.
These are quite common and account for about 20–25 percent of all ovarian tumors. The tumors are bilateral in about 10 percent cases. The chance of malignancy is about 5–10 percent.
NAKED EYE APPEARANCE:-
It may attain a huge size if left uncared for. In fact, it is the largest benign ovarian tumor.The wall is smooth, lobulated with whitish or bluish white hue. At places, it is thin so as to be translucent.
ON CUT SECTION: -
The content inside is thick, viscid, mucin — a glycoprotein with high content of neutral polysaccharides. It is colorless unless complicated by hemorrhage. The cyst is frequently multiloculated, sometimes with papillary growth arising from the septum.
MICROSCOPIC EXAMINATION: -
The cyst is lined by a single layer of tall columnar
epithelium with dark staining basal nucleus but without any cilia. The epithelial characteristics are like those of endocervix.
The medicines that can be thought of use are:-