Abstract

Background: Primary synchronous cancer of the female genital tract is a relatively uncommon. Simultaneously detected endometrial and ovarian malignancies constitute the commonest occurrence. A set of pathological criteria has been described to differentiate synchronous primaries from metastatic tumors. The purpose of this study was to characterize patients with synchronous primary endometrial and ovarian tumors. Materials and Methods: This was a retrospective study done in Department of Pathology, Tribhuwan University Teaching Hospital from September 2006 to August 2011. The datas were retrieved from computer database. Results: There were totally of 10 cases of simultaneously detected endometrial and ovarian cancers. Out of 10 cases, 7 cases were synchronous primary endometrial and ovarian cancers while three were metastatic. Median age at presentation was 47.4 years. Six (85.8%) of these patients presenting with dual primary tumors were premenopausal. Grade 1 histology was seen in 57% of endometrial and 42% of ovarian tumors. Atypical endometrial hyperplasia was found in 42.8% of cases while none of the cases showed endometriosis. Conclusion: Though limited by relatively small number of cases, younger and premenopausal women were predisposed to developing synchronous primary tumors of the endometrium and ovary. DOI: http://dx.doi.org/10.3126/jpn.v2i3.6019 JPN 2012; 2(3): 189-192

Highlights

  • Primary synchronous cancers of the female genital tract are a relatively uncommon comprising 1-6% of all genital neoplasms

  • This was a retrospective study in which 10 cases of simultaneously detected endometrial and ovarian cancers from September 2006 to August 2011, in the Department of Pathology, Tribhuvan University Teaching Hospital were included for study

  • Age ranged from 3751 years with a median age of 47.4 years for synchronous primary tumors

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Summary

Introduction

Primary synchronous cancers of the female genital tract are a relatively uncommon comprising 1-6% of all genital neoplasms. Synchronous tumors can be classified into three groups[2 1]. Endometrial cancer with metastasis to the adnexa. 2. Ovarian cancer with metastasis to the endometrium. Primary synchronous cancer of the female genital tract is a relatively uncommon. Detected endometrial and ovarian malignancies constitute the commonest occurrence. A set of pathological criteria has been described to differentiate synchronous primaries from metastatic tumors. The purpose of this study was to characterize patients with synchronous primary endometrial and ovarian tumors

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