Abstract
Synchronous primary endometrial and ovarian cancer (SEOC) is a relatively uncommon disease. It can be of similar or dissimilar histologies, is commonly diagnosed at younger age, early stage, low grade and have better prognosis as compared to primary endometrial or ovarian cancer alone with metastasis to the other. SEOC presents as a diagnostic challenge for clinicians, as it has both therapeutic and prognostic importance. Here presenting a case of 51 year postmenopausal women presented with bleeding per vagina and pain abdomen for 4 months, which was diagnosed as SEOC of endometrioid subtype, in early stage (both in T1a, low grade, negative margin, no lymphovascular emboli). Considering the early stage and low grade of tumour, she was kept under follow up without any adjuvant therapy and presently has completed 2 years of disease free survival. So while dealing with endometrial malignancies in younger women, a thorough preoperative and intraoperative evaluation needed to rule out SEOC. Accurate diagnosis of SEOC can spare this group of patients from aggressive adjuvant chemotherapy or radiotherapy. Further prospective clinical studies required to establish standard management protocol for SEOC.
Keywords: Endometrioid, Endometrium, Ovary, Synchronous primary carcinoma.
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Corresponding Author
Srigopal Mohanty
Junior Resident, Department of Radiotherapy, RIMS, Imphal, Manipur, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.161
