Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports

Although high-grade serous cancer (HGSC) accounts for >70% of ovarian epithelial cancers, it is rarely associated with endometriosis. No previous study has reported an association between the malignant transformation of uterine ligament endometriosis and HGSC. Here, we reported two cases of Chine...

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Main Authors: Ming Chen, Yuedi Zhang, Manman Xu, Duo Liu, Yang Yang, Shuzhong Yao
Format: Article
Language:English
Published: SAGE Publishing 2022-07-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221109373
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author Ming Chen
Yuedi Zhang
Manman Xu
Duo Liu
Yang Yang
Shuzhong Yao
author_facet Ming Chen
Yuedi Zhang
Manman Xu
Duo Liu
Yang Yang
Shuzhong Yao
author_sort Ming Chen
collection DOAJ
description Although high-grade serous cancer (HGSC) accounts for >70% of ovarian epithelial cancers, it is rarely associated with endometriosis. No previous study has reported an association between the malignant transformation of uterine ligament endometriosis and HGSC. Here, we reported two cases of Chinese female patients with HGSC arising from endometriosis in the uterosacral ligament. They had a long-term history of endometriosis and dysmenorrhea. Both were diagnosed with HGSC at stage IIB. They underwent operations and six cycles of chemotherapy with paclitaxel and carboplatin and have remained disease-free to date. Genomic analysis showed no known/suspected pathogenic variations or somatic homologous recombination deficiency in the two cases. In conclusion, these rare cases of HGSC from endometriosis might indicate a new origin of ovarian type II carcinoma. Patients with a long-term history of endometriosis and sudden aggravation of dysmenorrhea or vaginal bleeding should be aware of the possibility of endometriotic malignant transformation.
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spelling doaj.art-626bf0ca75bc46359d7229bc9b01036b2022-12-22T03:42:59ZengSAGE PublishingJournal of International Medical Research1473-23002022-07-015010.1177/03000605221109373Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reportsMing ChenYuedi ZhangManman XuDuo LiuYang YangShuzhong YaoAlthough high-grade serous cancer (HGSC) accounts for >70% of ovarian epithelial cancers, it is rarely associated with endometriosis. No previous study has reported an association between the malignant transformation of uterine ligament endometriosis and HGSC. Here, we reported two cases of Chinese female patients with HGSC arising from endometriosis in the uterosacral ligament. They had a long-term history of endometriosis and dysmenorrhea. Both were diagnosed with HGSC at stage IIB. They underwent operations and six cycles of chemotherapy with paclitaxel and carboplatin and have remained disease-free to date. Genomic analysis showed no known/suspected pathogenic variations or somatic homologous recombination deficiency in the two cases. In conclusion, these rare cases of HGSC from endometriosis might indicate a new origin of ovarian type II carcinoma. Patients with a long-term history of endometriosis and sudden aggravation of dysmenorrhea or vaginal bleeding should be aware of the possibility of endometriotic malignant transformation.https://doi.org/10.1177/03000605221109373
spellingShingle Ming Chen
Yuedi Zhang
Manman Xu
Duo Liu
Yang Yang
Shuzhong Yao
Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
Journal of International Medical Research
title Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
title_full Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
title_fullStr Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
title_full_unstemmed Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
title_short Primary high-grade serous cancer arising from uterosacral ligament endometriosis: two case reports
title_sort primary high grade serous cancer arising from uterosacral ligament endometriosis two case reports
url https://doi.org/10.1177/03000605221109373
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