Peritoneal cancer of gynecological origin

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The aim of this study is a retrospective analysis of the spectrum of ovarian tumors: statistics, epidemiology and pathological features, based on one-year experience in our hospital. Materials and method.

Materials and method. Primary Peritoneal Cancer, May 31, Answer 16 neuroendocrine cancer news The purpose of this paper is to quantify the in­ci­dence of different histological types of ovarian tumors and to demonstrate the clinical importance of an effective screening program, considering the paucisymptomatic na­ture of this pathology. The incidence of ovarian epithelial tumors varied across age groups, our study group including women aged between 34 and 64 years old. Knowing the age distribution plays an important role in the implementation of screening pro­grams.

We analyzed 58 cases registered in the Pathology Department as oophorectomy or hysterectomy specimens diagnosed with ovarian tumors, including benign, borderline and malignant tumors of various histological types. Based on their tumoral behavior, we had: three cases of benign tumors, all of them associated with a different histological tumor type and grade in the contralateral ovary, 12 cases of borderline tumors and 46 cases of malignant tumors 39 cases of primary and 7 cases of secondary tumors.

The most frequent histologic type was represented by high-grade serous carcinoma Rare primary ovarian tumors were represented by: adult granulosa cell tumor, clear cell carcinoma, mixed serous-mucinous carcinoma paraziti colon undifferentiated pleomorphic sarcoma 1.

The earliest age of all patients with ovarian tumors was 31 years old for the mixed serous-mucinous carcinoma. Mean age distribution was 52 years old for benign tumors, 51 years old for borderline and 60 years old for malignant tumors.

A clinical-pathological study of ovarian tumors - one-year center experience

Primary malignant tumors are the most frequent type of ovarian tumors and their age incidence ranges from the third to the eighth decade. The majority of secondary ovarian tumors are of endometrial origin.

Keywords ovarian tumors, benign, borderline, malignant Rezumat Obiectiv. Scopul acestui studiu este analiza retrospectivă a spectrului de tumori ovariene, din punct de vedere sta­tis­tic, epidemiologic şi al caracteristicilor histopatologice, re­pre­zen­tând experienţa de un an în spitalul nostru Ma­te­ria­le şi metodă.

Am analizat 58 de cazuri, din De­par­ta­­mentul de Anatomie Patologică, înregistrate ca piese de ooforectomie sau histerectomie diagnosticate cu tumori ovariene, cuprinzând diferite tipuri histologice de tumori ovariene benigne, borderline şi maligne.

Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz Peritoneal cancer with ascites Ovarian high-grade serous carcinoma is a type of malignancy that is rare among young adult women, being more frequent in postmenopausal wo­men. We present the case of a young woman with this type of malignant tumor, who in addition already had extension beyond the pelvis at the time of diagnosis, which is a poor prognostic factor. Case report. We repot the case of peritoneal cancer with ascites year-old woman who was admitted in our hospital with pelvic pain and ascites and also with suspicion of peritoneal carcinomatosis. After complex surgery, the histopathological result was bilateral ova­rian high-grade serous carcinoma with invasion of the perivesical peritoneum, mesoappendix, multiple omental involvement and one regional lymph node me­tastasis.

În funţie de caracterul tumoral, am identificat: trei cazuri de tumori benigne, toate asociate cu un alt tip histologic tu­moral în ovarul contralateral, 12 cazuri de tumori bor­der­line şi 46 de cazuri de tumori maligne dintre care 39 de cazuri de tumori primare şi 7 cazuri reprezentând tumori secundare. Vârsta minimă în rândul tuturor pacientelor cu tumori ovariene a fost 31 de ani. Vârsta medie pe categorii a fost 52 de ani pentru tumori benigne, 51 de ani pentru tumori borderline şi 60 de ani pentru tumori maligne.

1. Studiu clinico-patologic al tumorilor ovariene - experienţa de un an într-un centru medical
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Tumorile maligne primare reprezintă cel mai frecvent tip de tumori ovariene, cu o incidenţă de vârstă cuprinsă între decadele a treia şi a opta de viaţă. Majoritatea tumorilor ovariene secundare sunt de origine endometrială.

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• Peritoneal cancer with ascites,

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Controlul conștiinței furnicilor relative frequency­ of ovarian tumor is different for western and Asian countries.

Two third of ovarian tumors occur in women of reproductive age group 1. Borderline tumors occur at slightly older ages and malignant tumors are more common in women between 45 and 65 years old 2. Ovarian cancer represents the fifth cause of cancer and the fifth cause of death due to cancer in females in peritoneal cancer of gynecological origin European Union 3.

There are three major histologic subtypes of surface epithelial tumors: serous, mucinous and endometrioid.

Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz

Serous carcinomas are divided in: high-grade serous carcinoma and low-grade serous carcinoma. These tumors are associated with KRAS mutation mainly, and smoking is a risk factor, not associated with serous tumors. Mucinos tumors are composed of gastrointestinal type cell containing intracytoplasmic mucin and therefore, malignant tumors should always be carefully examined for excluding metastatic tumors with similar peritoneal cancer of gynecological origin 2,5.

Endometrioid tumors of the ovary are similar to endometrioid tumors of the endometrium. Other rare epithelial tumors include: clear cell tumors, Brenner tumors, mixed serous-mucinous or mixed epithelial-mesenchymal tumors.

The group includes: teratomas mature, immature and monodermal or highly specializeddysgerminoma, Yolk-sac tumor, non-gestational chorio-carcinoma, embryonal carcinoma and mixed tumors. In this group, only mature teratomas and monodermal teratoma - benign struma ovarii are benign tumors. Sex-cord stromal tumors include neoplasms that contain granulosa cells, theca cells, fibloblasts, Sertoli cells and Leydig cells, which are derived from ovarian­ stroma, that is formed from sex cords under the influences of coelomic and mesonephric epithelium.

This type of tumor has clinical importance because of its potential to elaborate large amounts of estrogens and because it has malignant potential.

Pure fibromas are hormonally peritoneal cancer of gynecological origin Sertoli and Leydig cell tumors are active and have masculinizing or de-fe­mi­nization effects 5,7. Metastases derived from non-gynecological sites are eleven times more frequent than those derived micropreparare papilom female genital organs, the gastrointestinal tract being the most common origin 7.

Tumors from the stomach, colon, and breast are the three most common neoplasms that metastasize to the ovary 8. Materials and method We performed a retrospective analysis of ovarian tumor peritoneal cancer of gynecological origin registered at the Pathology Department of the Bucharest Emergency University Hospital for a period of one year.

A clinical-pathological study of ovarian tumors - one-year center experience Conservarea funcției sexuale în adenomul prostatic What is Benign Prostatic Hyperplasia BPH or prostate adenoma?

Peritoneal cancer of gynecological origin study included 58 cases of oophorectomy, salpingo-oophorectomy or hysterectomy specimens diagnosed with benign, borderline or malignant tumors of various histologic types. We classified them according to their morphologic features, we analyzed the age distribution for each category, the clinical manifestations, regional spread, lymph nodes status, peritoneal involvement or metastases in available cases; the follow-up was possible in a limited number of cases.

All data was obtained from medical records and from the Statistics Department of University Emergency Hospital in Bucharest. Results and discussions Based on their tumoral behavior, we had Figure 1 : three cases 4.

In our study we found a smaller prevalence of benign tumors of only 4.

Figure 1. The distribution of ovarian tumors over a period of one year The most frequent histologic type among all ovarian tumors was represented by high-grade serous carcinoma Mucinous carcinoma accounted for Studies of molecular alteration have suggested that this tumors do actually progress from endometriosis 4, We had one case of poorly differentiated carcinoma of unknown origin.

All the metastasis cases were large excision specimens and were integrated in the clinico-pathological context.

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The gynecological origin is peritoneal cancer of gynecological origin less frequent than the gastrointestinal origin, which is the first cause of ovarian metastasis 7,8, Rare primary ovarian tumors were represented by: adult granulosa cell tumor Figure 2clear cell carcinoma, mixed serous-mucinous carcinoma, and undifferentiated pleomorphic sarcoma 1. Figure 2. Intraoperative Amacroscopic B and microscopic C aspect of a voluminous left ovarian cyst in a patient of 60 years old; after the histopathological analysis the diagnose was adult granulosa cell tumor - note the peritoneal cancer of gynecological origin pattern The earliest age of a patient with ovarian tumor was 31 years old for the mixed serous-mucinous carcinoma, a younger age than mean age for this type of tumor, but cases of patients within 16 to 79 years had been previously reported 13, Mean age distribution was: 52 years old for benign tumors, with a range of 45 to 67 years old; 51 years old for borderline tumors, with a range of 32 to 73 years old; 60 years old for malignant tumors, with a range of 31 to 83 years old Figure 3.

Mean age distribution in the category of malignant tumors is shown in Figure 4.