Treatment of Endometrial Cancer in Association with Pelvic Organ Prolapse

Abstract

Background. Uterine malignancy coexistent with pelvic organ prolapse (POP) is uncommon and standardized treatment is not established. The objective of this case study was to highlight the management of endometrial cancer in association with pelvic organ prolapse. Case Report. An 87-year-old woman presented with POP Stage IV combined with endometrioid adenocarcinoma of the uterus: clinical Stage IV B. She had multiple medical conditions including stroke, deep vein thrombosis, and pulmonary embolism. She was treated with radiotherapy and pessary was placed. Conclusion. Genital prolapse with abnormal uterine bleeding requires proper evaluation and management. Concurrent adenocarcinoma and POP can be a difficult clinical situation to treat, and optimum management is controversial.

Management of concomitant pelvic floor disorders and gynecological malignancy: a clinical challenge

“…Only a few studies are available that address the management of patients with a gynecological malignancy complicated by POP/UI, making it difficult to make any recommendations [7,8]. Therefore, until more data are available, we feel that the management of these cases should be multidisciplinary, involving a urogynecologist, a gynecological oncologist, an oncological internist, and a radiologist.…”