Ovarian metastasis of Mullerian adenosarcoma of the cervix with sarcomatous overgrowth/Serviksin sarkomatoz gelisim gosteren Mullerian adenosarkomunda over metastazi

The aim of this study is to present a rare case of Mullerian adenosarcoma of the cervix with ovarian metastasis and sarcomatous overgrowth. A gravida 2, para 2 woman aged 32 years with vaginal bleeding was admitted to the gynecology department. A 3-4 cm polypoid mass protruding from the cervix was d...

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Veröffentlicht in:Turkish journal of obstetrics and gynecology 2017-09, Vol.14 (3), p.195
Hauptverfasser: Koyuncuoglu, Meral, Saatli, Bahadir, Yildirim, Nuri
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Sprache:eng
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Zusammenfassung:The aim of this study is to present a rare case of Mullerian adenosarcoma of the cervix with ovarian metastasis and sarcomatous overgrowth. A gravida 2, para 2 woman aged 32 years with vaginal bleeding was admitted to the gynecology department. A 3-4 cm polypoid mass protruding from the cervix was detected in a pelvic examination. Total abdominal hysterectomy and bilateral salpingoopherectomy was performed because of metastatic implants on the right ovary The pathologic evaluation revealed Mullerian adenosarcoma of the cervix with sarcomatous overgrowth and ovarian metastasis. After surgery the patient was planned to undergo chemo- and radiotherapy. This is the first cervical Mullerian adenosarcoma case mentioned in the literature with metastasis to the ovary in a young woman. There is no optimal management option for cervical adenosarcomas due to the rarity of this phenomenon. Nevertheless, even if the patient is young and imaging techniques do not elucidate metastatic disease, surgeons should evaluate the ovaries for the spread of tumor, especially if histology reveals sarcomatous overgrowth. Keywords: Cervix, Mullerian adenosarcoma, ovarian metastasis Bu calismanin amaci, nadir gorulen ve over metastazi ile birlikte olan sarkomatoz gelisim gosteren serviks adenosarkom olgusunu sunmaktir. Otuz iki yasinda gravida 2, para 2 olan olgu, vajinal kanama yakinmasi ile jinekoloji bolumune basvurmustur. Pelvik bakida, serviksten vajene protrude olmus 3-4 cm polipoid yapida kitle izlenmistir. Total abdominal histerektomi ve over uzerindeki metastatik odaklar nedeniyle de bilateral salpingo-ooferektomi uygulanmistir. Patolojik degerlendirme, over metastazinin eslik ettigi serviksin sarkomatoz gelisim gosteren Mullerian adenosarkomu olarak raporlanmistir. Operasyon sonrasi hastaya kemoterapi ve radyoterapi planlanmistir. Bu olgu, literaturde genc hastada overe metastaz yaptigi gosterilmis ilk serviksin Mullerian adenosarkom olgusudur. Olgunun nadir gorulmesinden dolayi, uygun tedavi yaklasimi ile ilgili yeterli bilgi yoktur. Ancak olgu genc ve goruntuleme yontemlerinin sonucunda overlerin normal dahi oldugu belirtilse, sarkomatoz gelisim gosterdigi bildirilen olgularda, cerrah over metastazi riskini goz onunde bulundurmalidir Anahtar Kelimeler: Serviks, Mullerian adenosarkom, over metastazi
ISSN:2149-9322
DOI:10.4274/tjod.75735