Synchronous Primary Carcinoma of Cervix and Endometrium
Abstract
Introduction: Synchronous primary tumours in the female genital tract are rare. Even rarer are the synchronous tumours involving the cervix and endometrium . We describe a rare case of cervical squamous cell carcinoma and endometrial endometrioid adenocarcinoma in a 62-year-old woman . Case report A 62-year-old female presented with post menopausal bleeding for 4 months duration. Per vaginal examination showed a cervical growth . Magnetic resonance imaging revealed a mass in the cervical region and extension into the body and fundus of the uterine cavity. Radical hysterectomy(Type III hysterectomy) was done. The pathology revealed synchronous occurrence of primary neoplasms of squamous cell carcinoma of the cervix and adenocarcinoma of the endometrium.Conclusion Synchronous malignancies of endometrium and cervix are rare. Surgical treatment is radical surgery- Type 3 hysterectomy with bilateral pelvic lymph node dissection. The knowledge of occurrence of synchronous primaries is needed to plan appropriate adjuvant treatment. DOI: 10.21276/APALM.1073References
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3. Hsu-Dong Sun , Chung-Ru Lai, Ming-Shyen Yen et al; Synchronous occurrence of primary neoplasms of the uterus with mucinous carcinoma of the cervix and endometrioid carcinoma of the endometrium. Taiwanese Journal of Obstetrics & Gynecology 2011;50: 377-378
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2. Cheng-Kuo Lin, Mu-Hsien Yu, Ta-Wei Chu1 et al; Synchronus occurrence of primary neoplasms in the uterus with squamous cell carcinoma of the cervix and adenocarcinoma of the endometrium. Taiwanese Journal of Obstetrics and Gynecology. 2006;45: 336–339.
3. Hsu-Dong Sun , Chung-Ru Lai, Ming-Shyen Yen et al; Synchronous occurrence of primary neoplasms of the uterus with mucinous carcinoma of the cervix and endometrioid carcinoma of the endometrium. Taiwanese Journal of Obstetrics & Gynecology 2011;50: 377-378
4. Seo-Yun Tong, Yong-Sek Lee, Jong-Sup Parket al; Clinical analysis of synchronous neoplasms of female reproductive tract. European Jrnl of Obs and Gyn and Reproductive Biology 2008 ; 136:78-82.
5. Eser S, Gulhan I, Özdemir R et al. Synchronous primary cancers of the female reproductive tract in Turkish Women. Asian Pacific J Cancer Prev 2011;12,857-859.
6. Axelrod JH, Fruchter R, Boyce JG. Multiple primaries among gynecologic malignancies. Gynecol Oncol 1984;18:359–72.
7. Lowery WJ, Difurio MJ, Sundborg MJ, et al. Cervical signet-ring cell carcinoma presenting as a synchronous primary carcinoma with uterine adenocarcinoma. Mil Med. 2009 Feb;174[2]:212-3.
8. Sakarya DK, Yetimalar MH, Demir M et al; Coexisting triple malignancy of the female genital tract with the same histopathology: An unusual case and review of the literature. Journal of Cases in Obstetrics and Gynecology, 2015;2:10-14.
Published
2017-03-26
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Section
Case Report
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