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Three synchronized neoplasms of the female genital tract: an extraordinary presentation.

AbstractINTRODUCTION: We report a case of unusual co-existence of multiple primary neoplasms of female genital tract. CASE: A 62-year-old gravida 2, para 2 was referred with spotting and vaginal discharge for about 6 months. Fractionate curettage was performed and documented endocervical squamous cell carcinoma in situ. Subsequently total abdominal hysterectomy and bilateral salphingo-oophorectomy was performed. Final pathological report demonstrated cervical squamous cell carcinoma, right ovarian Brenner tumor, left ovarian granulosa tumor and endometrial polyps. DISCUSSION: Multiple primary neoplasms of female genital tract is a well-recognized yet rare occurrence. Although the presented case is probably an incidental event, the pathogenesis of the neoplastic process affecting the tissues with different embryological origin needs further research and evaluation. It is important to distinguish multiple primary neoplasms from metastatic disease because of the fact that overall survival as well as treatment would vary considerably.
AuthorsTanju Pekin, Pinar Yoruk, Recep Yildizhan, Begüm Yildizhan, Saime Ramadan (Affiliation: Obstetrics and Gynecology Department, Marmara Univestiy, Istanbul, Turkey.)
JournalArchives of gynecology and obstetrics (Arch Gynecol Obstet) Vol. 276 Issue 5 Pg. 541-5 (Nov 2007) ISSN: 0932-0067 Germany
PMID17522881 (Publication Type: Case Reports, Journal Article)
Topics
  • Brenner Tumor (diagnosis, pathology, surgery)
  • Carcinoma, Squamous Cell (diagnosis, pathology, surgery)
  • Diagnosis, Differential
  • Endometrial Neoplasms (diagnosis, pathology, surgery)
  • Fallopian Tubes (surgery)
  • Female
  • Humans
  • Hysterectomy
  • Middle Aged
  • Neoplasms, Multiple Primary (diagnosis, pathology, surgery)
  • Ovarian Neoplasms (diagnosis, pathology, surgery)
  • Ovariectomy
  • Polyps (diagnosis, pathology, surgery)
  • Uterine Cervical Neoplasms (diagnosis, pathology, surgery)