ISSN:
1437-7772
Keywords:
Key words Clear cell carcinoma
;
Endometriosis
;
Sigmoid tumor
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract We present an unusual case of clear cell carcinoma arising from endometriosis in a 43-year-old woman. During laparotomy, a right adnexal tumor was found to be a sigmoidal subserosal tumor. Concomitant abnormal findings were endometriosis externa and enlarged ovaries. Intraoperative cytology suggested an adenocarcinoma; however, because of the unusual nature of the tumor and because the patient had not been fully informed about colostomy, further surgery was postponed. During the postoperative follow-up, the tumor grew and repeat aspiration cytology also suggested an adenocarcinoma. The patient again underwent laparotomy, and a Miles operation, total abdominal hysterectomy, bilateral salpingo-oophorectomy, regional lymphadenectomy and descending colostomy were performed. The patient completed two courses of multidrug chemotherapy (cisplatin, 70 mg/m2; epirubicin, 50 mg/m2; cyclophosphamide, 500 mg/m2) postoperatively, and she remains without recurrence 7 months after the second laparotomy.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s101470050075
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