Abstract
Introduction: Synchronous tumours of female genital tract are a rare . The most common organs involved are ovary and endometrium. Endometrioid carcinoma is the most common malignancy detected in majority of cases . Synchronous cancers with dissimilar histology are a very rare phenomenon . We report a case of 51 year old lady with synchronous primary mucinous carcinoma of ovary and primary endometrioid endometrial carcinoma . Case report: a 51 year old lady presented with post menopausal bleeding and foul smelling vaginal discharge of 1 month duration . Her CA125 was elevated. Magnetic resonance imaging showed increased endometrial thickness and a12.5x10x9.3cm mass in the fundus of uterus suggestive of a leiomyoma along with and a 13.8x11.5x11cm mass in the left adnexa. Endometrial aspiration done showed Complex Hyperplasia with Atypia. Total abdominal hysterctomy and bilateral salphingoophorectomy along with lymphnode sampling was performed . The adnexal mass was pT1a pN0 cM0 grade 2 invasive mucinous carcinoma. The endometrial lesion was pT1b pN0 cM0 FIGO grade 2 endometrioid endometrial adenocarcinoma. Conclusion : Synchronous ovarian tumours of dissimilar histology is extremely rare and there are only a few reports of ovarian mucinous carcinoma with endometrioid endometrial carcinoma. DOI: 10.21276/APALM.1295
Highlights
ConclusionSynchronous ovarian tumours of dissimilar histology is extremely rare and there are only a few reports of ovarian mucinous carcinoma with endometrioid endometrial carcinoma
Synchronous tumours of female genital tract are a rare
Synchronous primary tumours of female genital tract account for only
Summary
Primary ovarian carcinoma with a synchronous primary tumour in the endometrium though a rare phenomenon is occasionally encountered in gynecological practice. Majority of synchronous tumours in the ovary and endometrium are of endometrioidtype. The occurrence of tumours with dissimilar histology is a rare event. There are very few reports of synchronous mucinous carcinoma ovary and endometroid endometrial carcinoma. This case is reported for its rarity , to emphasise the importance of thorough radiological evaluation of endometrium in all adnexal mass lesions and to emphasise the need of endometrial aspiration in suspicious cases. There is a dire need for extensive molecular analysis for determining the pathology of these synchronous tumours with dissimilar histology
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