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Incidental small ovarian surface serous carcinoma with Miliary abdominal seeding during robotically-assisted total hysterectomy

  • Cheng-Wei Wang1
  • Ching-Hui Chen1,3
  • Wei-Min Liu2,3,*,

1Division of Infertility, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan

2Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan

3Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

DOI: DOI:10.31083/j.ejgo.2020.04.5021 Vol.41,Issue 4,August 2020 pp.654-656

Submitted: 12 October 2018 Accepted: 11 December 2018

Published: 15 August 2020

*Corresponding Author(s): Wei-Min Liu E-mail: weimin@tmu.edu.tw

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Abstract

Objective: To report a case in which an incidental finding of an extremely small ovarian surface tumor with abdominal miliary seeding was managed using robotic staging surgery. Case Report: A 53-year-old women, gravida 0 para 0, who was experiencing dysmenorrhea and adenomyosis, was admitted initially for robotically-assisted total hysterectomy. Intraoperatively, an incidental discovery of a 0.5-cm right ovarian surface tumor with pelvic wall miliary tumors was noted. An intraoperative frozen-section diagnosis revealed carcinoma both for the ovarian tumor and pelvic sidewall tumors. A final pathological report revealed serous carcinoma, Stage IIIA2. Conclusion: A preoperatively undetectable small ovarian tumor (0.5 cm) could behave malignantly with metastasis that is already widespread. The authors have reported this case to identify the imperative need for early detection of ovarian cancer.

Keywords

Small ovarian surface tumor; Abdominal miliary seeding; Robotic staging surgery

Cite and Share

Cheng-Wei Wang,Ching-Hui Chen,Wei-Min Liu. Incidental small ovarian surface serous carcinoma with Miliary abdominal seeding during robotically-assisted total hysterectomy. European Journal of Gynaecological Oncology. 2020. 41(4);654-656.

URL:

https://www.ejgo.net/articles/DOI:10.31083/j.ejgo.2020.04.5021

References

[1] Fathalla M.F.: “Incessant ovulation and ovarian cancer a hypothesis re-visited”. Facts Views Vis. Obgyn.. 2013, 5, 292.

[2] Dubeau L.: “The cell of origin of ovarian epithelial tumours”. Lancet Oncol., 2008, 9, 1191

[3] Brown P.O., Palmer C.: “The preclinical natural history of serous ovarian cancer: defining the target for early detection”. PLoS Med., 2009, 6, e1000114.

[4] Mann W.J., Patsner B., Cohen H., Loesch M.: “Preoperative serum CA-125 levels in patients with surgical stage I invasive ovarian adenocarcinoma”. J. Natl. Cancer Inst., 1988, 80, 208.

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