Comprehensive Analysis of Ovarian Serous Borderline Tumors: Lymph Node Involvement and Implants - A Case Report: Ovarian serous borderline tumors

Objective: Ovarian serous borderline tumors (SBTs) are a distinct subtype of ovarian tumors that exhibit characteristics intermediate between benign tumors and invasive ovarian cancers. These tumors may display cellular changes suggestive of malignancy but do not meet all the criteria for full malignancy. Case: This article presents the case of a 55-year-old female who presented to the clinic with complaints of pain and swelling in the lower abdominal quadrant. Upon examination, multiloculated mass lesions were found in the bilateral adnexa, and the patient was diagnosed with Borderline (low malignant potential) serous tumor. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, partial omentectomy, and peritoneal implant excision. Additionally, pelvic lymph node resection was performed, and abdominal lavage fluid was collected. The tissue sections were examined under a light microscope, revealing epithelial-lined papillae with a complex structure resembling the columnar fallopian tube epithelium, showing hierarchical branching. The patient was diagnosed with Borderline (low malignant potential) serous tumor, omental implants, and lymph node involvement. Conclusion: The presence of lymph node involvement and implants in ovarian SBT necessitates thorough surgical exploration and may impact the choice of therapies. Therefore, early detection and accurate staging are crucial in determining prognosis and treatment strategy.