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Simultaneously detected primary malignant tumors of ovary and endometrium with unusual histology
  1. K. PAPATHANASIOU*,
  2. A. TOLIKAS*,
  3. D. DOVAS*,
  4. E. KOSTOPOULOU,
  5. N. FRAGKEDAKIS* and
  6. J. TZAFETTAS*
  1. *Departments of Obstetrics and Gynaecology, Ippokrateio Hospital, Aristotle's University of Thessaloniki, Thessaloniki, Greece
  2. Department of Pathology, Ippokrateio Hospital, Aristotle's University of Thessaloniki, Thessaloniki, Greece
  1. Address correspondence and reprint requests to: Dr Athanasios Tolikas, MD, Kafkasou 35B, Kalamaria, Thessaloniki 55133, Greece. Email: athantol{at}doctors.net.uk

Abstract

A case of a mucinous adenocarcinoma of the ovary with a synchronous endometroid tumor of the endometrium with focal features of undifferentiated carcinoma and deep myometrial invasion is reported. A review of the literature revealed that our case is interesting in view of the fact that simultaneous presentation of primary ovarian and endometrial neoplasms is rare and usually related to low-stage ovarian lesions and well-differentiated and superficial endometrial carcinomas in contrast to our case with the focal features of undifferentiated carcinoma and the deep myometrial invasion. These double tumors usually present in premenopausal subfertile women with abnormal uterine bleeding. The prognosis in most of the cases is surprisingly good even after total abdominal hysterectomy and bilateral oophorectomy alone without adjuvant chemotherapy or irradiation.

  • endometrial cancer
  • ovarian cancer
  • synchronous neoplasms of endometrium and ovary

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