Triple synchronous primary gynaecological tumours. A case report

Laura Gutiérrez-Palomino, José María Romo-de los Reyes, María Jesús Pareja‐Megia, María Jesús Pareja-Megía, José Antonio García-Mejido, José Antonio García‐Mejido
Cirugia y cirujanos · 2016 · vol. 84(1) , pp. 69–72 · doi:10.1016/j.circen.2014.11.001 · PMID:26238592 · W1060430751
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This case report describes a 49-year-old woman diagnosed with synchronous ovarian, Fallopian tube, and endometrial cancers, highlighting the rarity and diagnostic challenges of multiple primary gynecological malignancies.

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Abstract

BACKGROUND: Synchronous multiple primary malignancies in the female genital tract are infrequent. From 50 to 70% of them corresponds to synchronous cancers of the endometrium and ovary. To our knowledge, this is only the third case report in the international literature of three concurrent gynaecological cancers of epithelial origin. A case is presented, as well as a literature review due to the infrequency of its diagnosis and the lack of information on the subject. CLINICAL CASE: A 49-year-old woman, with previous gynaecological history of ovarian endometriosis. She underwent a hysterectomy and bilateral oophorectomy, as she had been diagnosed with endometrial hyperplasia with atypia. The final histopathology reported synchronous ovarian, Fallopian tube, and endometrial cancer. An extension study and complete surgical staging was performed, both being negative. She received adjuvant treatment of chemotherapy and radiotherapy. She is currently free of disease. CONCLUSIONS: The aetiology is uncertain. There is controversy relating to increased susceptibility of synchronous neoplasms to pelvic endometriosis and inherited genetic syndromes. Its diagnosis needs to differentiate them from metastatic disease. Additionally, they are problematical from a clinical, diagnostic, therapeutic, and prognostic point of view. The presentation of more cases of triple synchronous cancers is necessary for a complete adjuvant and surgical treatment.

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Condition tags

endometriosis

MeSH descriptors

Adenocarcinoma Adenocarcinoma Adenocarcinoma Adenocarcinoma Fallopian Tube Neoplasms Fallopian Tube Neoplasms Fallopian Tube Neoplasms Fallopian Tube Neoplasms Neoplasms, Multiple Primary Neoplasms, Multiple Primary Neoplasms, Multiple Primary Neoplasms, Multiple Primary Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Ovarian Neoplasms Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms Uterine Neoplasms

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