Synchronous endometrioid carcinoma of the uterus and ovaries

Case contributed by Katia Kaplan-List , 19 Feb 2016
Diagnosis certain
Changed by Matt A. Morgan, 20 Feb 2016

Updates to Case Attributes

Gender was set to Female.
Presentation was changed:
66 year old female with postPost menopausal bleeding.
Body was changed:

Surgical findings included a large right ovarian mass filled with purulent, mucinous and caseous like fluid, adherent to pelvic side walls, ileum and sigmoid. Omentum was grossly normal, enlarged left ovary with thin adhesions to left pelvic sidewall, small left hydrosalpinx, no ascites. Small anteverted uterus and long narrow cervix. No peritoneal studding. Frozen section of the pelvic mass: Adenocarcinoma favoring endometroid origin

Synchronous endometrioid carcinoma of the uterine corpus and ovary is an uncommon but well recognized entity. Diagnosis as either a separate independent primary or as a metastatic tumor requires careful consideration of a number of gross and histological features.

Patients with synchronous endometrioid tumors of the endometrium and ovary are generally younger than reported for either endometrial adenocarcinomas or ovarian adenocarcinomas. They tend to be low grade and early stage and are frequently associated with endometriosis. The prognosis of endometrioid type carcinomas is better than other histological types of carcinoma.

  • -<p>Surgical findings included a large right ovarian mass filled with purulent, mucinous and caseous like fluid, adherent to pelvic side walls, ileum and sigmoid. Omentum was grossly normal, enlarged left ovary with thin adhesions to left pelvic sidewall, small left hydrosalpinx, no ascites. Small anteverted uterus and long narrow cervix. No peritoneal studding. Frozen section of the pelvic mass: Adenocarcinoma favoring endometroid origin</p><p>Synchronous endometrioid carcinoma of the uterine corpus and ovary is an uncommon but well recognized entity. Diagnosis as either a separate independent primary or as a metastatic tumor requires careful consideration of a number of gross and histological features.</p><p>Patients with synchronous endometrioid tumors of the endometrium and ovary are generally younger than reported for either endometrial adenocarcinomas or ovarian adenocarcinomas. They tend to be low grade and early stage and are frequently associated with endometriosis. The prognosis of endometrioid type carcinomas is better than other histological types of carcinoma.</p>
  • +<p>Surgical findings included a large right ovarian mass filled with purulent, mucinous and caseous like fluid, adherent to pelvic side walls, ileum and sigmoid. Omentum was grossly normal, enlarged left ovary with thin adhesions to left pelvic sidewall, small left hydrosalpinx, no ascites. Small anteverted uterus and long narrow cervix. No peritoneal studding. Frozen section of the pelvic mass: Adenocarcinoma favoring endometroid origin</p><p>Synchronous <a title="Endometrioid carcinoma of the endometrium" href="/articles/endometrioid-adenocarcinoma-of-the-endometrium">endometrioid carcinoma</a> of the uterine corpus and ovary is an uncommon but well recognized entity. Diagnosis as either a separate independent primary or as a metastatic tumor requires careful consideration of a number of gross and histological features.</p><p>Patients with synchronous endometrioid tumors of the endometrium and ovary are generally younger than reported for either endometrial adenocarcinomas or ovarian adenocarcinomas. They tend to be low grade and early stage and are frequently associated with endometriosis. The prognosis of endometrioid type carcinomas is better than other histological types of carcinoma.</p>

Tags changed:

  • ovarian
  • uterus

Updates to Study Attributes

Modality was set to CT.
Findings was changed:

CT obtained 1 year prior for abdominal pain did not demonstrate any pelvic abnormality. (Incidentally (incidentally included distended gallbladder with a gallstone).

Images Changes:

Image CT (non-contrast) ( update )

Specifics was set to non-contrast.

Image CT (non-contrast) ( update )

Specifics was set to non-contrast.

Updates to Study Attributes

Findings was changed:

There is a massive solid, cystic, and multiseptated mass within the right hemipelvis, with cranial extension into the abdomen, where it abuts the inferior aspect of the liver. This appears to be right adnexal/uterine in origin. The left ovary is poorly evaluated.

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