[Ovarian cancer in ovarian remnant syndrome?]

D Glaser, Glaser D, Bürrig KF, K F Bürrig, H Mast, Mast H
Geburtshilfe und Frauenheilkunde · 1992 · doi:10.1055/s-2007-1023783 · PMID:1499956
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This case report describes a 69-year-old woman with a history of endometriosis who developed ovarian cancer in an ovarian remnant twenty-two years after surgery, highlighting the diagnostic challenges involved.

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This case report describes a 69-year-old woman who developed a malignant pelvic tumor twenty-two years after her uterus and adnexa were surgically removed to treat endometriosis. Clinical and pathological evaluations indicated that the malignancy was likely an ovarian carcinoma arising within an ovarian remnant syndrome, although confirming this diagnosis in the presence of cancer is inherently difficult. The authors discuss several differential diagnoses for the mass, with particular attention paid to ureteral adenocarcinoma as a potential alternative explanation for the patient's condition. Relevance to endometriosis: The paper is directly relevant as it details a rare complication occurring in a patient with a history of endometriosis who underwent prior hysterectomy and bilateral salpingo-oophorectomy.

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Abstract

We report on a malignant pelvic tumour in a 69-year old woman, whose uterus and adnexa had been removed 22 years ago because of endometriosis. Clinical and pathological findings pointed to an ovarian cancer in an ovarian remnant syndrome. In a case of a carcinoma, it is difficult to furnish proof of an ovarian remnant syndrome. Differential diagnoses, especially the ureteral adenocarcinoma, are discussed.
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Subscribe to RSS DOI: 10.1055/s-2007-1023783 Ovarialkarzinom bei Ovarian Remnant Syndrome? Ovarian Cancer in Ovarian Remnant Syndrome?Publication History Publication Date: 18 March 2008 (online) Zusammenfassung Wir berichten über einen malignen Tumor im kleinen Becken einer 69jährigen Patientin, deren Uterus und Adnexe vor 22 Jahren wegen Endometriose entfernt worden waren. Die klinischen und histologischen Befunde deuten auf ein Ovarialkarzinom bei Ovarian Remnant Syndrome hin. Der Beweis für ein Ovarian Remnant Syndrome ist bei einem Karzinom schwer zu führen, mögliche Differentialdiagnosen, insbesondere das Adenokarzinom des Ureters, werden diskutiert. Abstract We report on a malignant pelvic tumour in a 69-year old woman, whose uterus and adnexa had been removed 22 years ago because of endometriosis. Clinical and pathological findings pointed to an ovarian cancer in an ovarian remnant Syndrome. In a case of a carcinoma, it is difficult to furnish proof of an ovarian remnant Syndrome. Differential diagnoses, especially the ureteral adenocarcinoma, are discussed.

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Condition tags

endometriosis

MeSH descriptors

Adenocarcinoma, Papillary Endometriosis Hysterectomy Neoplasm Recurrence, Local Neoplasms, Second Primary Ovarian Neoplasms Ovariectomy Postoperative Complications Adenocarcinoma, Papillary Adenocarcinoma, Papillary Aged Diagnosis, Differential Endometriosis Endometriosis Female Humans Neoplasm Recurrence, Local Neoplasm Recurrence, Local Neoplasms, Second Primary Neoplasms, Second Primary

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europepmc
last seen: 2026-08-19T06:08:28.815611+00:00
pubmed
last seen: 2026-05-13T22:11:44.647872+00:00
unpaywall
last seen: 2026-08-19T06:23:00.919175+00:00
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