Taiwanese Journal of Obstetrics & Gynecology (Dec 2011)

Rapidly growing ovarian endometrioid adenocarcinoma involving the vagina: A case report

  • Sunghun Na,
  • Jongyun Hwang,
  • Hyangah Lee,
  • Jiyeon Lee,
  • Dongheon Lee

DOI
https://doi.org/10.1016/j.tjog.2011.10.023
Journal volume & issue
Vol. 50, no. 4
pp. 522 – 527

Abstract

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Objective: We present a rare case of a very rapidly growing stage IV ovarian endometrioid adenocarcinoma involving the uterine cervix and vagina without lymph node involvement. Case Report: A 43-year-old woman visited the hospital with complaints of lower abdominal discomfort and vaginal bleeding over the previous 3 months. Serum levels of tumor marker CA 125 and SCC antigen (TA-4) were normal. On magnetic resonance imaging, a 7.9×9.7 cm heterogeneous mass with intermediate signal intensity was observed in the posterior low body of the uterus. Two months ago, a computed tomography scan revealed an approximate 4.5×3.0 cm heterogeneously enhanced subserosal mass with internal ill-defined hypodensities. A laparotomy, including a total abdominal hysterectomy with resection of the upper vagina, bilateral salpingo-oophorectomy, pelvic and para-aortic lymph node dissection, appendectomy, total omentectomy, and biopsy of rectal serosa was performed. A histological examination revealed poorly differentiated endometrioid ovarian adenocarcinoma with vaginal involvement. The patient had an uncomplicated post-operative course. After discharge, she completed six cycles of adjuvant chemotherapy with paclitaxel (175 mg/m2) and carboplatin (300 mg/m2) and has remained clinically disease-free until June 2010. Conclusion: Epithelial ovarian cancer may grow very rapidly. The frequent measurement of tumor size by ultrasonography may provide important information on detection in a subset of ovarian carcinomas that develop from preexisting, detectable lesions.

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