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Synchronus Endometrioid Endometrial and Ovarian Cancer in a 37-year-old woman
박예현,이려빈,이태임,조혜연,장봉림,강정배,경민선 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
Synchronus primary endometrial and ovarian malignancises are uncommon. A 37-year-old women who has Hypertension visited Emergency room with the complaint of lower abdominal pain and abnormal vaginal bleeding. In Abdominopelvic computed tomography there was 11*8*3 cm sized right ovarian tumor and 10*7*3 cm sized left ovarian tumor with internal septation and diffuse endometrial thickening. Serum level of CA-125 was elevated at 65.8 IU/mL. CA 19-9 was slightly elevated at 31.4 IU/mL. An Endometrial biopsy revealed Endometrial invasive adenocarcinoma. The patient underwent Total abdominal hysterectomy with bilateral salpingo-oophorectomy and both pelvic lymphadenectomy with para-aortic lymphadenectomy and appendectomy and total omentectomy and peritonectomy and washing cytology. Histopathology revealed a synchronous endoemtrioid endometrial and ovarian cancer. After the operation, we decided to perform chemotherapy. Therefore we report a case of synchronus primary endometrial and ovarian malignancies occurred in a 37-year-old women with a brief review of the literature.