Abstract
BackgroundSynchronous gynecological tumors are rare; it is even rarer to find the rarest of gynecological tumors that of the fallopian tube, together with a histological sub-type as rare as verrucous cervix.Case presentationWe report a synchronic fallopian tube adenocarcinoma and a verrucous cervical cancer. A 85-year-old woman with postmenopausal genital hemorrhage, endometrial biopsy was reported as squamous metaplasia, an exploratory laparotomy was performed finding a tubal tumor diagnosed as adenocarcinoma, a staging procedure was performed. Final staging revealed IB1 cervical carcinoma and IA G3 fallopian tube carcinoma. Adjuvant treatment with chemotherapy was not accepted by the patient. The patient has remained in follow-up, and at 9 months, there has been no documented evidence of recurrent disease.ConclusionReasons for our presentation of this work are: first, due to the rarity of these, and second, because of the usefulness of possessing a case report for establishing a norm for later behavior with respect to treatment of these patients.
Highlights
Synchronous gynecological tumors are rare; it is even rarer to find the rarest of gynecological tumors that of the fallopian tube, together with a histological sub-type as rare as verrucous cervix.Case presentation: We report a synchronic fallopian tube adenocarcinoma and a verrucous cervical cancer
The most common presentation is the combination of endometrium and ovarian neoplasms in the case of ovary, this is related with incessant ovulation, consequent estrogen production, and continuous stimulation of the endometrium, with the consequent formation of neoplasms characteristic of this site [2]
We present a case of a patient with a primary carcinoma of the fallopian tube synchronous with a cervical carcinoma, verrucous type
Summary
An increase has been detected in the incidence of synchronous tumors, due mainly to the increment in life expectancy of the population and the development of ever more specific diagnostic methods that discover tumors that were not perceived previously [1], as well as improvement in the therapies employed, which afford time for the neoplastic lesion to develop in another organ. A frozen section evaluation reported serous just carcinoma of right fallopian tube limited to fallopian tube; in cervix, a lesion in endocervical canal was identified, which was diagnosed as benign in TsFuihgrefualcreeeft; 1tshaelpionvxarsyhoiswnsoarmtuaml (owrhmitaesasrwroitwh)cauliflower like The left salpinx shows a tumor mass with cauliflower like surface; the ovary is normal (white arrow). Molecular biology findings of verrucous carcinoma of the cervix Fresh cervical tissue sample obtained during surgery was processed by means of the Quiagen DNeasy Tissue Kit for DNA extraction Later, this was amplified with GP5+/ GP6+ primers, which detects 35 types of HPV
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