CASE REPORT   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2020 September;179(9):556-8

DOI: 10.23736/S0393-3660.19.04175-5

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Unsuspected ovarian metastasis from well-differentiated, limited in endometrium endometrial cancer

Angel YORDANOV ¹ ✉, Lachezar TANTCHEV ², Assia KONSOULOVA ³, Mariella B. VASILEVA-SLAVEVA ⁴, Strahil STRASHILOV ⁵

¹ Department of Gynecologic Oncology, Medical University Pleven, Pleven, Bulgaria; ² Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria; ³ Complex Oncological Center, Burgas, Bulgaria; ⁴ EXTRO Lab, Department of Therapeutic Radiology and Oncology, Medical University of Innsbruck, Innsbruck, Austria; ⁵ Department of Plastic and Reconstructive Surgery, MU-Pleven, Pleven, Bulgaria

Endometrial cancer is more and more frequently diagnosed in women who have pregnancy plans at older age. After initial clinical staging, if endometrial cancer has been classified in stage I, detection of unsuspected metastasis (e.g. ovarian) is less than 5%. We present a case report of a 38-year-old patient with well-differentiated endometroid endometrial cancer without invasion in the myometrium and synchronous metastasis in one of the ovaries. Ovarian preservation has become routine in younger patients with squamous cervical cancer or very early stage ovarian cancer. Until present, this is has not been confirmed as a standard in early endometrial cancer, regardless of the histology subtype. Ovarian preservation should still not be routinely considered in early endometrial cancer, regardless of histology subtype, grading and degree of myometrium invasion.

KEY WORDS: Endometrial neoplasms; Ovarian neoplasms; Case reports