IMR Press / EJGO / Volume 41 / Issue 5 / DOI: 10.31083/j.ejgo.2020.05.5474
Open Access Case Report
Metastatic mesonephric adenocarcinoma of unknown origin after hysterectomy: A case report
Show Less
1 Department of Obstetrics and Gynecology, Kyung Hee Medical Center, College of Medicine, Kyung Hee University, Seoul, Republic of Korea
2 Department of Radiology, Kyung Hee Medical Center, College of Medicine, Kyung Hee University, Seoul, Republic of Korea
3 Department of Pathology, Kyung Hee Medical Center, College of Medicine, Kyung Hee University, Seoul, Republic of Korea
Eur. J. Gynaecol. Oncol. 2020 , 41(5), 828–832; https://doi.org/10.31083/j.ejgo.2020.05.5474
Submitted: 12 February 2020 | Accepted: 1 April 2020 | Published: 15 October 2020
Abstract

Müllerian and Wolffian ducts originate from the mesodermal tissue. In females, the Müllerian ducts develop to form the fallopian tubes, uterus, cervix, and upper two-thirds of the vagina; whereas in males, they regress. The Wolffian duct, also called the mesonephric duct, regresses in females during development. Mesonephric carcinomas occur through the female genital tract, and the majority arise in the cervix of the uterus. We report the case of a patient who had abdominal pain 4 weeks prior to admission, and who underwent a hysterectomy 20 years prior. The radiologic results revealed a 6.7 × 5.4 × 4.3 cm-sized mass in the retroperitoneum but were not indicative of mesonephric adenocarcinoma. The patient underwent complete mass surgical resection, followed by posterior sectionectomy of the liver and splenectomy with cholecystectomy. The histopathologic results showed that the mass was a mesonephric adenocarcinoma.

Keywords
Hysterectomy
Mesonephric adenocarcinoma
Metastatic
Pelvic mass
Unknown origin
Figures
Figure 1.
Share
Back to top