IntroductionThe presence of synchronous primary malignancies in the female genital tract is relatively rare. Primary tumors in two organs within a single person is called synchronous primary malignancies. The two types of synchronous cancers commonly reported have been ovarian cancer and endometrial cancer (1,2). Synchronous primary tumor of the endometrium and ovary occur in up to 10% of all ovarian cancer cases and 5% of all endometrial cancer cases (3). Patients with simultaneous uterine and ovarian cancers do generally show a better prognosis than those with metastatic disease. (2,4-6). We describe herein, a patient whose disease was not consistent with this data, she had ovarian cancer (stage 1A) and endometrial cancer (stage 1A) which metastasized to sigmoid colon one year after surgery.
Case PresentationA 53-year-old postmenopausal women, with a history of 5 pregnancies, 2 deliveries, 1 dilatation and curettage and 2 missed abortus, admitted to our clinic with the complaints of abdominal pain, abdominal distension and postmenopausal bleeding. Her family and previous disease histories were unremarkable. Her physical examination and transvaginal ultrasound scan revealed free fluid in the abdominal cavity and a cystic mass containing papillary projections with the dimensions of 6.5 × 5 × 4 cm on the right ovary. Tumor marker (carbohydrate antigen) (CA) 125 was elevated, 223 IU. The dilatation and curettage was performed and the histopathological diagnosis of endometrial curettage was endometrioid adenocarcinoma. Computed tomography revealed no metastasis. Under the diagnosis of endometrial cancer and probably ovarian cancer; malignant ascites sampling, radical hysterectomy, bilateral salpingo-oophorectomy, pelvic and paraaortic lymphadenectomy, omentectomy, appendectomy and cytologic sampling of the undersurface of the diaphragm were carried out (tumor free). Histopathological diagnosis of endometrial cancer was grade 2 adenocarcinoma with squamous differentiation (stage 1A) with less than Abstract Introduction: We describe a patient who had ovarian and endometrial cancer which metastasized to sigmoid colon one year after surgery. Case Presentation: A 53-year-old woman was admitted with the complaints of abdominal pain, abdominal distension and postmenopausal bleeding. Her transvaginal ultrasound scan revealed a cystic mass containing papillary projections with the dimensions of 6.5 × 5 × 4 cm on the right ovary. Level of (carbohydrate antigen) (CA) 125 was 223 IU. Dilation and curettage revealed endometrioid adenocarcinoma. Debulking surgerywas carried out. Histopathological diagnosis was grade 2 adenocarcinoma with squamous differentiation for endometrial cancer and grade 2 endometrioid adenocarcinoma with squamous and mucinous differentiation for ovarian cancer. The stage was 1A for endometrial cancer and 1A for ovarian cancer. 12 months after the operation CA 125 level was 112 IU. Positron emission tomography (PET) scan showed a small lesion (1.5×1.5 cm) in the pelvic cavity with increased fluorodeoxyglu...