Acta Medica Medianae
Ginekološko-akušerska klinika Kliničkog centra
Zmaj Jovina 30
34000 Kragujevac, Srbija
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Copyright 2008 by Faculty of Medicine, University of Nis
ENDOMETRIOID TUMOR OF OVARY AND UTERUS, METASTASIS OR NOT – CASE
Momcilo Djordjevic, Slobodanka Mitrovic, Gordana Djordjevic and Bozidar Jovanovic
The presence of two genital tumors at the same time is a relatively unknown fact. They are rare and account for 0,63% of all genital malignancies. If endomertial carcinoma has affected only endometrium, then this is called stage (IA), if endometrial carcinoma has affected only one half of the miometrium, this is (IB), while (IIIA) tumor spreads to serosa or adnexa. In carcionoma localized on the ovary, without rupture of the capsule, the stage is (IA), while ovary carcinoma that affected the oviduct or uterus is (IIA).
A female, 55 years old, was hospitalized in the Gynecology and Obstetrics Clinic Kragujevac, Clinical Centre Kragujevac because of the surgical operation, and the tumor that filled the whole of the small pelvis. Imunohistochemically, the expressions of ER, PR and HER 2 receptors were determined.
Women with independent primary endometrial uterus and ovary tumors have the prognosis similar to those of women with a separate form of this disease.
Risk factors and clinical indicators of results in women with synchronized tumors are different from those based on histological division. Women with synchronized tumors are mostly younger, obese, premenopausal and barren. Patients with serious endometrial carcinomas look like patients with ovary carcinomas. In the future, it will be necessary to provide better evaluation of etiology of these diseases. In addition, the molecular diagnoses of tumor in endometrium and ovary will provide us with real confirmation. Acta Medica Medianae 2008;47(2):33-37.
Key words: synchronized tumors, independent tumors, metastatic tumors, joined tumors