Serviksin sarkomatöz gelişim gösteren Müllerian adenosarkomunda over metastazı
Küçük Resim Yok
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, nadir görülen ve over metastazı ile birlikte olan sarkomatöz gelişim gösteren serviks adenosarkom olgusunu sunmaktır. Otuz iki yaşında gravida 2, para 2 olan olgu, vajinal kanama yakınması ile jinekoloji bölümüne başvurmuştur. Pelvik bakıda, serviksten vajene protrüde olmuş 3-4 cm polipoid yapıda kitle izlenmiştir. Total abdominal histerektomi ve over üzerindeki metastatik odaklar nedeniyle de bilateral salpingo-ooferektomi uygulanmıştır. Patolojik değerlendirme, over metastazının eşlik ettiği serviksin sarkomatöz gelişim gösteren Müllerian adenosarkomu olarak raporlanmıştır. Operasyon sonrası hastaya kemoterapi ve radyoterapi planlanmıştır. Bu olgu, literatürde genç hastada overe metastaz yaptığı gösterilmiş ilk serviksin Müllerian adenosarkom olgusudur. Olgunun nadir görülmesinden dolayı, uygun tedavi yaklaşımı ile ilgili yeterli bilgi yoktur. Ancak olgu genç ve görüntüleme yöntemlerinin sonucunda overlerin normal dahi olduğu belirtilse, sarkomatöz gelişim gösterdiği bildirilen olgularda, cerrah over metastazı riskini göz önünde bulundurmalıdır.
The aim of this study is to present a rare case of Müllerian adenosarcoma of the cervix with ovarian metastasis and sarcomatous overgrowth. A gravida 2, para 2 woman aged 32 years with vaginal bleeding was admitted to the gynecology department. A 3-4 cm polypoid mass protruding from the cervix was detected in a pelvic examination. Total abdominal hysterectomy and bilateral salpingoopherectomy was performed because of metastatic implants on the right ovary. The pathologic evaluation revealed Müllerian adenosarcoma of the cervix with sarcomatous overgrowth and ovarian metastasis. After surgery, the patient was planned to undergo chemo- and radiotherapy. This is the first cervical Müllerian adenosarcoma case mentioned in the literature with metastasis to the ovary in a young woman. There is no optimal management option for cervical adenosarcomas due to the rarity of this phenomenon. Nevertheless, even if the patient is young and imaging techniques do not elucidate metastatic disease, surgeons should evaluate the ovaries for the spread of tumor, especially if histology reveals sarcomatous overgrowth.
The aim of this study is to present a rare case of Müllerian adenosarcoma of the cervix with ovarian metastasis and sarcomatous overgrowth. A gravida 2, para 2 woman aged 32 years with vaginal bleeding was admitted to the gynecology department. A 3-4 cm polypoid mass protruding from the cervix was detected in a pelvic examination. Total abdominal hysterectomy and bilateral salpingoopherectomy was performed because of metastatic implants on the right ovary. The pathologic evaluation revealed Müllerian adenosarcoma of the cervix with sarcomatous overgrowth and ovarian metastasis. After surgery, the patient was planned to undergo chemo- and radiotherapy. This is the first cervical Müllerian adenosarcoma case mentioned in the literature with metastasis to the ovary in a young woman. There is no optimal management option for cervical adenosarcomas due to the rarity of this phenomenon. Nevertheless, even if the patient is young and imaging techniques do not elucidate metastatic disease, surgeons should evaluate the ovaries for the spread of tumor, especially if histology reveals sarcomatous overgrowth.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Turkish Journal of Obstetrics and Gynecology
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
