Cancer endometrial hysterectomy,

cancer endometrial hysterectomy

A collision tumor is mainly composed of two distinct tumor types, epithelial and mesenchymal. To the best of our knowledge, there has only been a single case in which a choriocarcinoma with an endometrial carcinoma were coexistent but histologically distinct. The collision tumor was composed of three histologically distinct neoplasms in the uterine corpus, namely an endometrioid carcinoma, an undifferentiated carcinoma and a choriocarcinoma.

Diagnosing a collision tumor prior to surgery is difficult if the neoplasms are in close proximity, or if one of the tumors predominates.

[Myometrial Invasion as a Prognostic Factor in Endometrial Adenocarcinoma]

Cancer endometrial hysterectomy pathological examination is crucial for accurately diagnosing the neoplasms in a collision tumor and ensuring appropriate management and a favorable prognosis. Introduction Tumors that occur in the uterine corpus include epithelial, mesenchymal, mixed epithelial and mesenchymal, miscellaneous, lymphoid and myeloid and secondary tumors, as well as trophoblastic disease 1. Endometrial cancer papillomavirus de la bouche the third most common cause of death among gynecological cancers, following ovarian and cervical cancer, with increasing incidence rates in several countries 2.

This may be attributed to the increasing number of elderly individuals and increasing rates of obesity 2. Endometrial cancer includes several carcinomas, which are divided into type I and II cancers and include endometrioid adenocarcinomas, mucinous adenocarcinomas, serous carcinomas, clear-cell carcinomas and several other rare forms, such as neuroendocrine tumors, including small-cell, mixed, undifferentiated and dedifferentiated carcinomas 3.

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In addition, choriocarcinoma is a malignant trophoblastic tumor, usually of the placenta, that may also occur in the uterine corpus. However, it is rare for trophoblastic disease to present in the uterus of postmenopausal women 5.

Endometrial cancer laparoscopic hysterectomy

Furthermore, non-gestational choriocarcinomas occur in the absence of a preceding gestation, and often tend to occur as a component of an ovarian germ cell tumor 6. Almost all primary non-gestational choriocarcinomas of the female genital tract have been described in the ovaries 78.

Endometrial Cancer Treatment: Surgery \u0026 Personalized Medicine - Joshua Cohen, MD - UCLAMDChat

The number of reports in the literature regarding endometrial cancer in which choriocarcinoma differentiation occurs in the uterine corpus is limited 9with only a single report of coexistence of a mixed adenocarcinoma and a choriocarcinoma Case report Our patient was a year-old woman with a history of two pregnancies and two deliveries; the last delivery was when she was 28 years old.

The patient was cm in height, weighed 51 kg, and had a body mass index of The history of menstrual cycles was regular and she had gone through menopause at the age of 51 years.

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The surgical history included an appendectomy at the age of 19 years, but there was no family history of cancer. The patient consulted a gynecologist with a main complaint of moderate genital bleeding.

Endometrial cancer and prognosis, Endometrial cancer and prognosis - Varicoasă vitamine uterin

A 35×mm mass lesion, which bled easily, was detected in the cervix. The patient was referred to our hospital and, after undergoing a detailed examination, received further treatment due to the suspicion of cervical cancer.

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During the first cancer endometrial hysterectomy to our hospital, a pelvic examination revealed an enlarged cervix, while the digital examination revealed extension to the parametrium on either side of the uterus. The colposcopic examination revealed that the invasive carcinoma was a large polypoid mass in the cervical canal.

The cytological diagnosis of the cervical lesion was a high-grade squamous intraepithelial lesion and the pathological diagnosis, using a punch biopsy, indicated a squamous cell carcinoma SCC. Transvaginal ultrasonography revealed a mixed echogenic mass in the cervix, sized 49×49×57 mm Fig. Magnetic resonance imaging MRI revealed a hyperintense cervical mass sized 55×51×52 mm, invading the lower uterine segment Fig.

Positron emission tomography-computed tomography CT revealed intense fludeoxyglucose activity correlating with a cervical and endometrial mass, without signs of metastasis to other organs or to the pelvic and paraaortic lymph nodes Fig.

The cancer endometrial cancer endometrial hysterectomy marker carbohydrate antigen CA was elevated A Transvaginal ultrasonography revealed a mixed echogenic mass in the cervix.

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B Magnetic resonance imaging showed a hyperintense cervical mass invading the lower uterine segment. C Positron emission tomography-computed tomography revealed intense fluorodeoxyglucose activity correlating with the cervical and endometrial masses, without signs of metastasis to other organs or to the pelvic and para-aortic lymph nodes.

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With an initial diagnosis of stage Ib2 cervical cancer, the patient underwent radical hysterectomy, bilateral adnexectomy and pelvic lymph node dissection. Rectal cancer young age distinct tumors were identified in the resected specimen, one in the lower segment, one in the middle segment and one in the fundus of the uterine corpus Fig. The histopathological examination of the masses revealed that they were three histologically distinct cancers: an undifferentiated carcinoma of the lower segment, invading half the thickness of the myometrium Fig.

There was no communication between the three lesions in the uterine corpus.

  • Endometrial cancer and prognosis, Endometrial cancer and prognosis - Varicoasă vitamine uterin What is endometrial cancer?
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A Surgical specimen displaying three distinct lesions in the uterine corpus. Histopathological examination of the hysterectomy specimen revealed: B An undifferentiated carcinoma invading half the thickness of the myometrium in the lower segment; C an endometrioid cancer endometrial hysterectomy with squamous differentiation, grade 2, confined to the endometrium in the middle segment; and D a choriocarcinoma with lymphovascular space invasion in the fundus.

Six treatment cycles were completed without dose reduction or suspension of treatment. The β-human chorionic gonadotropin hCG level was After the five cycles, the tumor markers, including the β-hCG level, were within normal limits, without cancer relapse during 1 year of follow-up.

Translation of "salpingo-oophorectomy" in Romanian Translation of "histerectomia" in English [Lymph node dissection in endometrial cancer]. Metodologie de elaborare3. Etapele procesului de elaborare3. Data reviziei4.

Discussion We reported a case with three histologically distinct cancers in the uterine corpus: an endometrioid carcinoma, an undifferentiated carcinoma and a choriocarcinoma.

There are several reports in the literature on endometrial cancer with choriocarcinoma differentiation, with two distinct components in the primary tumor, and the prognosis of this tumor type is reported to be poor 9. However, only a single case of a histologically distinct coexistence of a mixed adenocarcinoma and a choriocarcinoma in the uterine corpus has been reported to date Collision tumors are an uncommon phenomenon characterized by the coexistence of two completely distinct and independent tumors at the same site.

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The two morphologically separate tumors are sharply demarcated from each other. This entity is distinct from neoplasms demonstrating heterologous or mixed elements In patients with collision tumors of the uterine corpus, the median age is Several reports determined that collision tumors of the uterine corpus were mainly composed of two distinct tumors, an endometrial carcinoma endometrioid or serous adenocarcinoma and a mesenchymal tumor leiomyosarcoma or endometrial stromal sarcoma.

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However, in a recent report, three distinct endometrial cancers were found in the uterine corpus, a malignant mixed Müllerian tumor, a serous adenocarcinoma and an endometrioid adenocarcinoma In the present case report, we identified three histologically distinct lesions in the uterine corpus, including an endometrioid carcinoma, an undifferentiated carcinoma and a choriocarcinoma.