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. 2012:2012:687510.
doi: 10.1155/2012/687510. Epub 2012 Nov 6.

A case of endometrial stromal sarcoma with synchronous bilateral adenocarcinoma of ovary

Olga Caramelo  1 , Carol Marinho, Teresa Rebelo, Natália Amaral, Fernando Mota, Fernanda Xavier da Cunha, Isabel Torgal
Affiliations

A case of endometrial stromal sarcoma with synchronous bilateral adenocarcinoma of ovary

Olga Caramelo et al. Case Rep Obstet Gynecol. 2012.

Abstract

Endometrial stromal tumor is a rare mesenchymal uterine tumor. We report the case of a patient with endometrial stromal sarcoma and concomitant bilateral endometrioid adenocarcinoma of the ovary in the context of pelvic endometriosis. The patient underwent a complete cytoreduction including total hysterectomy and bilateral adnexectomy, pelvic lymphadenectomy, appendicectomy, infracolic omentectomy, and pelvic peritonectomy. This is the first report to our knowledge that describes a synchronous endometrial stromal sarcoma and bilateral endometrioid adenocarcinoma of the ovary.

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Figures

Figure 1
Figure 1
Chest scan with a large pleural effusion.
Figure 2
Figure 2
Computed tomography (CT) showed (a) a partially necrotic solid mass measuring 9.5 cm in diameter in the left side of the pelvis and a cystic tumor in right side measuring 10.5 cm. (b) The uterus presented an heterogeneous myometrial structure with a nodular lesion 4 cm long.
Figure 3
Figure 3
Endometrioid adenocarcinoma of the ovary, moderately differentiated, showing aspects that suggest an endometriosis origin.
Figure 4
Figure 4
Endometrial stromal sarcoma, detail of stromal cells (50X).
See this image and copyright information in PMC

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