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on histologic characteristics, conventional and micropapillary/ cribif3orm SBT (8). A study examining the imaging findings of the two types of SBT found that conventional SBT are cystic masses that commonly exhibit an intracystic mural nodule on imaging, as seen in this case (6). Due to the potential for recurrence, intraperitoneal seeding, and lymph node involvement with SBT’s, follow-up surveillance is recommended as with other ovarian tumors (8). 6. Nakai G, Yamada T, Yamamoto K, Hirose Y, Ohmichi M, Narumi Y. MRI appearance of ovarian serous borderline tumors of the micropapillary type compared to that of typical ovarian serous borderline tumors: radiologic-pathologic correlation. J Ovarian Res. 2018 Jan 10;11(1):7. doi: 10.1186/s13048-018- 0379-y. PMID: 29321056; PMCID: PMC5764013. 7. Park SB, Kim MJ, Lee KH, Ko Y. Ovarian serous surface papillary borderline tumor: characteristic imaging features with clinicopathological correlation. Br J Radiol. 2018 Jul;91(1088):20170689. doi: 10.1259/bjr.20170689. Epub 2018 Jun 21. PMID: 29888983; PMCID: PMC6209462.
Serous borderline tumors of the ovary account for approximately 15% of all serous ovarian tumors, and present epithelial proliferation with an intermediate degree of nuclear atypia and no stromal invasion (7). SBT’s are associated with intraperitoneal and lymphatic implants and are a potential precursor to low grade serous carcinoma. (7, 8). SBT’s vary in morphology including papillary, solid, and cystic components. World Health Organization classification of SBT’s is divided into two types based REFERENCES: 1. Dawood MT, Naik M, Bharwani N, Sudderuddin SA, Rockall AG, Stewart VR. Adnexal Torsion: Review of Radiologic Appearances. Radiographics . 2021;41(2):609-624. doi:10.1148/ rg.2021200118 2. Lazaridis A, Maclaran K, Behar N, Narayanan P. A rare case of small bowel obstruction secondary to ovarian torsion in an IVF pregnancy. BMJ Case Rep . 2013;2013:bcr2013008551. Published 2013 Feb 15. doi:10.1136/bcr-2013-008551 3. Jaffe T, Thompson WM. Large-Bowel Obstruction in the Adult: Classic Radiographic and CT Findings, Etiology, and Mimics. Radiology . 2015;275(3):651-663. doi:10.1148/radiol.2015140916 4. Jeanty C, Frayer EA, Page R, Langenburg S. Neonatal ovarian torsion complicated by intestinal obstruction and perforation, and review of the literature. J Pediatr Surg . 2010;45(6):e5-e9. doi:10.1016/j.jpedsurg.2010.02.118 5. Murgugesan RKS, Ross K, Prabakar J. A case of ovarian cyst torsion causing intestinal obstruction. International Surgery Journal . 2020, 7(12):4228-4230. ACKNOWLEDGMENTS: Danielle Haidari is a 4th year Medical Student at Tulane University School of Medicine. Tayson Nguyen, DO is a 4th year Tulane Radiology Resident. Neel Dewan Gupta, MD is a clinical and academic musculoskeletal radiologist in New Orleans and serves as a clinical assistant professor within the Department of Radiology at the Tulane University Medical Center. Spencer
The state’s vaccine database, Louisiana Immunization Network (LINKS), is a tool that helps providers ensure kids are healthy and have received all recommended age- appropriate vaccines. The utilization of LINKS reduces the risk of vaccine-preventable illnesses resulting in major outbreaks. Entering all of your patients’ vaccination records in LINKS is not only a legal requirement in Louisiana, it also helps prevent diseases from spreading in our communities. The Louisiana Department of Health Immunization Program reminds all providers that all vaccinations must be entered into LINKS within one week after administration.
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RR.
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PathologyOutlines.com https://www. pathologyoutlines.com/topic/ovarytumorserousborderline. html. Accessed August 4th, 2022. website. 9. Xu M, Wang B, Shi Y. Borderline ovarian tumor in the pediatric and adolescent population: a clinopathologic analysis of fourteen cases. Int J Clin Exp Pathol. 2020 May 1;13(5):1053- 1059. PMID: 32509078; PMCID: PMC7270684.
Barbera is a 3rd year Medical Student at Tulane University School of Medicine.
Jeremy Nguyen MD, FACR is a clinical radiology professor within the Department of Radiology at the Tulane University Medical Center.
For more information about vaccine reporting, visit LaLINKS.org
18 J LA MED SOC | VOL 175 | SUMMER 2023
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