Abstract
The occurrence of malignant mural nodule in benign cystic common epithelial
tumor of the ovary have been reported in only three cases; the case one was
mucinous cystadenoma with a mural nodule of fibrosarcoma and the others were of
carcinomas. Our case was another rare case of ovarian mucinous cystadenoma with
mural nodule of anaplastic carcinoma in a 42-year-old woman. The cystadenoma had
an unilocular cystic cavity and a mural nodule with thick multinodular solid
wall. The internal cystic wall was lined with mucinous cystadenoma without any
malignant features. The mural nodule showed anaplastic carcinomatous
differentiation and its nature was confirmed by immunohistochemistry and
electron microscopy. This tumor had metastasized to the right salpinx, uterus,
cul-de-sac, periureter and mesentery.