High-Grade Serous Carcinoma Arising in Postmenopausal Ovarian Endometrioma: A Rare Case Postmenopozal Ovarian Endometrioma Kaynaklı Yüksek Dereceli Over Seröz Karsinomu: Nadir Bir Olgu
Sakarya Medical Journal, cilt.12, sa.3, ss.577-580, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 12 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.31832/smj.1035398
- Dergi Adı: Sakarya Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.577-580
- Anahtar Kelimeler: adnexal mass, Endometrioma, ovarian cancer, postmenopausal
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Epithelial ovarian serous cancer arising in endometrioma is an uncommon phenomenon. Here, we present a case of postmenopausal ovarian high-grade serous carcinoma associated with ovarian endometrioma. A 64-year-old woman attended the clinic with pelvic pain and persistent vaginal discharge. Ultrasonography revealed an endometrial thickness and 37*23 mm left cystic adnexal mass. During the operation, solid pelvic mass grossly located in the cul-de-sac infiltrating rectum and left ovarian cysts were observed. An intraoperative frozen section was performed with an interpretation of adenocarcinoma with an undetermined-site of the origin in the uterus and rectosigmoid colon. Final pathology revealed a high-grade ovarian serous carcinoma arising in ovarian endometrioma from two microscopic focuses. In sum, when we encounter postmenopausal endometrioma with increased biomarkers, it is crucial to consider the possibility of malignant transformation to ovarian cancer.