1. P31: Synchronous carcinomas of endometrium and ovary: What form is it?
- Author
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Sbai, A., Bourhaleb, Z., Ouabdelmoumen, A., Naciri, F., Mezouar, L., and El-Hfid, M.
- Subjects
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ENDOMETRIAL cancer , *OVARIAN cancer , *CANCER research - Abstract
Introduction: The simultaneous achievement of endometrial and ovarian cancer by a cancerous process is not a rare phenomenon. In the absence of molecular biology, it is a true diagnostic challenge: Is it a double primary or metastatic form? Purpose of Our Work: The objective of this study was to evaluate the prevalence of the association of synchronous carcinomas of the ovary and endometrium, the epidemiological, clinical, histological and evolving profiles. Materials and Methods: This is a retrospective study conducted at the Regional Oncology Center Hassan II between 2005 and 2012. We analyzed the clinical folders of patients with synchronous carcinoma of the ovary and endometrium in terms of epidemiological, clinical, histological and evolutionarily profiles. Results: 11 cases have been collected during this period (8% of ovarian cancers and 17% of the endometrium cancers). The average age of patients was 51 years. 46% of patients were nulliparous and 54% in pre menopause. The most frequent reason for consultation was the abdominal pelvic pain in 6 patients followed by spontaneous bleeding in five cases. Ten patients were treated by radical hysterectomy without adnexal consevation. The omentectomy was performed in eight patients. Four patients underwent a pelvic lymphadenectomy. Adjuvant chemotherapy was conducted in eight cases and adjuvant radiation in two cases. Pathological examination showed histological correlation of endometrial and ovarian tumors in 10 patients with a dominance of endometroid carcinoma. According to Scully and Ulbright criteria, five patients had endometrial cancer with metastasis to the ovary, five patients had ovarian cancer with metastasis to the endometrium and one patient had two independent primary tumors. At the end of treatment, nine patients were in good control. With a median follow of 60 months, one patient developed an isolated metastasis and three patients a pelvic recurrence and metastasis. Conclusion: Our study is limited by the small number of patients. However, it seems that women with synchronous carcinomas of endometrium and ovary had clinical (younger age, pre-menopausal status and nulliparity) and histological (dominance of endometroid type) characteristic suggesting that hormonal factors may explain the development of synchronous carcinomas of endometrium and ovary. [ABSTRACT FROM AUTHOR]
- Published
- 2015