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Primary papillary serous carcinoma presenting as acute ovarian torsion in postmenopausal woman: a case report

  • R. Tinelli1,*,
  • S. Uccella2
  • E. Cicinelli3
  • R. Alfonso3
  • F. Romano4
  • L Nappi5
  • G. Trojano3

1Department of Obstetrics and Gynecology, “Perrino” Hospital, Brindisi

2Department of Obstetrics and Gynecology, University Medical School “A. Gemelli”, Rome

32 ° Department of Obstetrics and Gynecology, University Medical School “A. Moro”, Bari

4Department of Obstetrics and Gynecology, “Cannizzaro” Hospital, Catania

5Department of Obstetrics and Gynecology, University Medical School, Foggia (Italy)

DOI: 10.31083/j.ejgo.2020.01.5115 Vol.41,Issue 1,February 2020 pp.155-156

Published: 15 February 2020

*Corresponding Author(s): R. Tinelli E-mail: raffaeletinelli@gmail.com

Abstract

A 51-year-old postmenopausal woman, with an uneventful past gynecologic history, was admitted to the present hospital with a diagnosis of severe pelvic pain due to a suspected ovarian torsion treated with different drugs intravenously without any improvement of symptoms. As a consequence of the increasing pelvic pain, a laparoscopic surgical treatment was decided: a left necrotic ovarian mass and pelvic peritoneal carcinomatosis were visualized and the procedure was converted from laparoscopy to laparotomy that confirmed a diagnosis of primary ovarian papillary serous carcinoma and permitted an adequate treatment. This is a rare case in literature of severe pelvic pain due to an acute ovarian torsion that permitted a prompt diagnosis and treatment of malignancy.

Keywords

Pelvic pain; Acute ovarian torsion; Primary ovarian papillary serous carcinoma.

Cite and Share

R. Tinelli,S. Uccella,E. Cicinelli,R. Alfonso, F. Romano,L Nappi,G. Trojano. Primary papillary serous carcinoma presenting as acute ovarian torsion in postmenopausal woman: a case report. European Journal of Gynaecological Oncology. 2020. 41(1);155-156.

References

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[2] Tinelli R, Malzoni M, Cosentino F, Perone C, Fusco A, Cicinelli E.: "Robotics versus laparoscopic radical hysterectomy with lymphadenectomy in patients with early cervical cancer: a multicenter study". Ann Surg Oncol., 2011, 18, 2622.

[3] O’Hanlan K.A., Sten M.S., Halliday D.M., Sastry R.B., Struck D. M., Uthman K.F.: “Comprehensive laparoscopic lymphadenectomy from the deep circumflex iliac vein to the renal veins: Impact on quality of life”. Gynecol. Oncol., 2017, 144, 592.

[4] Gallotta V., Conte C., Giudice M.T., Nero C., Vizzielli G., Gueli Alletti S., et al.: “Secondary Laparoscopic Cytoreduction in Recurrent Ovarian Cancer: A Large, Single-Institution Experience. J. Minim. Invasive Gynecol., 2018, 25, 644.

[5] Tinelli R., Cicinelli E., Tinelli A., Bettocchi S., Angioni S., Litta P.: “Laparoscopic treatment of early-stage endometrial cancer with and without uterine manipulator: Our experience and review of litera-ture”. Surg. Oncol., 2016, 25, 98.

[6] Uccella S., Bonzini M., Malzoni M., Fanfani F., Palomba S., Aletti G., et al.: “The effect of a uterine manipulator on the recurrence and mortality of endometrial cancer: a multi-centric study by the Italian Society of Gynecological Endoscopy”. Am. J. Obstet. Gynecol., 2017, 216, 592.e1.

[7] Tinelli R., Litta P., Meir Y., Surico D., Leo L., Fusco A., et al.: “Advantages of laparoscopy versus laparotomy in extremely obese women (BMI > 35) with early-stage endometrial cancer: a multicenter study”. Anticancer Res., 2014, 34, 2497.

[8] Ganer Herman H., Shalev A., Ginath S., Kerner R., Keidar R., Bar J., et al.: “278 Clinical characteristics and the risk for malignancy in postmenopausal women with adnexal torsion”. Maturitas, 2015, 280, 9.

[9] Tinelli R., Cicinelli E., Tinelli A., Bettocchi S., Angioni S., Litta P.: “Laparoscopic treatment of early-stage endometrial cancer with and without uterine manipulator: Our experience and review of litera-ture”. Surg. Oncol., 2016, 25, 98.

[10] Tinelli R., Litta P., Meir Y., Surico D., Leo L., Fusco A., et al.: “Advantages of laparoscopy versus laparotomy in extremely obese women (BMI>35) with early-stage endometrial cancer: a multicenter study”. Anticancer Res., 2014, 34, 2497.

[11] Uccella S., Bonzini M., Malzoni M., Fanfani F., Palomba S.: “The effect of a uterine manipulator on the recurrence and mortality of endometrial cancer: a multicentric study by the Italian Society of Gynecological Endoscopy”. Am. J. Obstet. Gynecol., 2017, 216, 592.

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