Synchronous endometrioid carcinoma of the uterus and ovaries


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.