IMR Press / EJGO / Volume 38 / Issue 3 / DOI: 10.12892/ejgo3530.2017
Open Access Case Report
Ovarian tumors: Should the cervix be examined first?
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1 Gynecological Oncology Unit, Third Department of Obstetrics and Gynecology, General University Hospital “Attikon”, University of Athens, Athens, Greece
2 Department of Gynecology and Obstetrics, University Hospital Mainz, Mainz, Germany
Eur. J. Gynaecol. Oncol. 2017 , 38(3), 462–464; https://doi.org/10.12892/ejgo3530.2017
Published: 10 June 2017
Abstract

There is a controversy regarding ovarian metastasis in early-stage adenocarcinoma of the uterine cervix. The authors present the case of a 51-year-old woman that at the time of diagnosis was thought to suffer from a Stage II cervical carcinoma and a synchronous ovarian carcinoma, that turned out to be an ovarian metastasis from the endocervical adenocarcinoma, as attested morphologically, histochemically, and immunohistochemically. Radical hysterectomy with oophorectomy, excision of the omentum, lymph node excision, and cytological sampling of the peritoneal cavity were carried out. It is important to always bear in mind that even low-grade adenocarcinomas of the cervix can be metastatic to the ovaries. Clinicians have to be careful when managing those cases, while further investigation is needed in order to determine the exact mechanism of those metastases and the criteria needed in order to preserve the ovaries in young patients.
Keywords
Ovarian metastasis
Endocervical adenocarcinoma
Fertility-sparing surgery
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