Pitfalls of Frozen Section in Gynecological Pathology: A Case of Ovarian Serous Surface Papillary Adenofibroma Imitating Malignancy

Anja M.K. Jones*, Wei Ying Yue, Jenna Marcus, Debra S. Heller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Serous cystadenofibromas are uncommon benign ovarian lesions, consisting of both fibrous and epithelial components, that are usually cystic but may contain solid or papillary architecture that can be confused with a malignancy on imaging. Papillary architecture seen on frozen section may also falsely steer the pathologist in the direction of a diagnosis of a borderline serous tumor. Overcalling the lesion may lead to more aggressive surgery than necessary, so extensive tissue sampling and consideration of this entity is important in possibly avoiding this mistake.

Original languageEnglish (US)
Pages (from-to)268-270
Number of pages3
JournalInternational Journal of Surgical Pathology
Volume27
Issue number3
DOIs
StatePublished - May 1 2019

Keywords

  • borderline ovarian tumor
  • borderline serous tumor
  • ovarian cystadenofibroma
  • papillary adenofibroma

ASJC Scopus subject areas

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine

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