Abstract

Aim: To evaluate the clinicopathological entities of Mucinous Borderline and Mucinous carcinoma of ovary at age less than 30 years. Methodology: Retrospective analysis of twelve cases of borderline and mucinous carcinoma of ovary at age less than or equal to 30 years managed at VPS Lakeshore hospital, Kochi, India from 2013 to 2018. Results: 434 ovarian cancers were managed in 6 years duration. 54 cases (12.4%) were in age group ≤ 30 years. Malignant germ cell tumor was the most common ovarian cancer in this age group (28 cases, 51.9%) followed by epithelial cell tumor (21 cases, 38.9%) and sex cord stromal tumor (4 cases, 7.4%). Borderline tumor and mucinous carcinoma accounted for 5.5% and 16.7% respectively of all epithelial ovarian carcinoma in this age group respectively. Mean age of diagnosis was 22.5 years. Pain abdomen was the most common presenting symptoms. Clinically palpable abdominal mass was present in 8 (66.7%) cases. CEA was raised in 16.7% of cases. Multiloculated large cyst was consistent finding in the ultrasound study with mean diameter of 13.75 cm. All cases were of FIGO stage I. Total 6 cases received adjuvant chemotherapy. There were 2 cases (1 in each group) of contralateral ovarian involvement in mean duration of 13 months. Overall disease free period was 36.27 months. One case (8.3%) expired due to the disease process and three cases (25%) conceived after treatment. Conclus ion: Mucinous carcinoma is more common than borderline tumor at young age, mostly unilateral and detected at early stage. Laparoscopic management is difficult due to its large size. Systematic lymphadenectomy can be omitted and unilateral Salpingooophorectomy at early stage is an optimal management for fertility preservation.