RT - European Journal of Gynaecological Oncology ID - 10.31083/j.ejgo.2020.04.5305 T1 - Malignant perivascular epithelioid cell tumor (PEComa) of uterus: A case report with literature review A1 - Joseph J. Noh A1 - Sir-Yeon Hong A1 - Byeong-gie Kim K1 - Perivascular epithelioid cell tumor (PEComa); Uterus; Adjuvant chemotherapy; Vincristine; Sirolimus; Dacarbazine YR - 2020 SP - 495 AB -
Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal neoplasm involving various organs. Approximately 70 cases of gynecologic PEComas have been reported in the literature. Due to the paucity of cases, there is no definite treatment regimen established. We describe disease progression in a case of uterine PEComa with pulmonary metastasis in a 37-year-old woman who had been treated with surgery and various regimens of adjuvant treatment including vincristine, ifosfamide, cisplatin, sirolimus, doxorubicin, olaratumab, pazopanib and dacarbazine. Adequate management and prognosis still seem inconclusive and further case reports with randomized trials are needed to delineate the nature of this neoplasm.