Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review

Abstract Background Primary ovarian serous carcinomas (OSC) with extensive squamous differentiation is a rare, and histological diagnostic criteria and biological behavior have not been fully established. We present an extremely rare case of primary OSC of the ovary with squamous differentiation. Ca...

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Main Authors: Yao Sun, Yuezhou Chen, Xiaofei Zhang, Hao Chen, Feng Zhou
Format: Article
Language:English
Published: BMC 2021-05-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-021-01336-y
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author Yao Sun
Yuezhou Chen
Xiaofei Zhang
Hao Chen
Feng Zhou
author_facet Yao Sun
Yuezhou Chen
Xiaofei Zhang
Hao Chen
Feng Zhou
author_sort Yao Sun
collection DOAJ
description Abstract Background Primary ovarian serous carcinomas (OSC) with extensive squamous differentiation is a rare, and histological diagnostic criteria and biological behavior have not been fully established. We present an extremely rare case of primary OSC of the ovary with squamous differentiation. Case presentation A 58-year-old (gravidity 3, parity 2) female was admitted complaining of abdominal distention for 6 months. No apparent tumor in the cervix was found by a physical examination. Serum levels of cancer antigen 125 (CA125) was elevated (2723.0 IU/L). Macroscopically, a 7 cm tumor of the left uterine adnexa, a 5 cm tumor of the right adnexa, and a 3 cm tumor of the omentum were found. Histological and immunochemical tests confirmed a diagnosis of OSC with squamous differentiation. Debulking surgery with tumor resection was performed. The patient was subsequently received postoperative chemotherapy. Conclusions In summary, OSC with extensive squamous differentiation is a rare, and the inter- and intratumor heterogeneity may be the reason for this phenomenon. Histological diagnostic criteria and biological behavior have not been fully established because of the limited data.
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spelling doaj.art-68f95ec6173a48c194703654b386913b2022-12-21T21:56:18ZengBMCBMC Women's Health1472-68742021-05-012111410.1186/s12905-021-01336-yPrimary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature reviewYao Sun0Yuezhou Chen1Xiaofei Zhang2Hao Chen3Feng Zhou4Department of Pathology, School of Medicine, Women’s Hospital, Zhejiang UniversityDepartment of Reproductive and Genetic Medicine Center, The Fifth Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Pathology, School of Medicine, Women’s Hospital, Zhejiang UniversityDepartment of Pathology, University of Texas Southwestern Medical CenterDepartment of Pathology, School of Medicine, Women’s Hospital, Zhejiang UniversityAbstract Background Primary ovarian serous carcinomas (OSC) with extensive squamous differentiation is a rare, and histological diagnostic criteria and biological behavior have not been fully established. We present an extremely rare case of primary OSC of the ovary with squamous differentiation. Case presentation A 58-year-old (gravidity 3, parity 2) female was admitted complaining of abdominal distention for 6 months. No apparent tumor in the cervix was found by a physical examination. Serum levels of cancer antigen 125 (CA125) was elevated (2723.0 IU/L). Macroscopically, a 7 cm tumor of the left uterine adnexa, a 5 cm tumor of the right adnexa, and a 3 cm tumor of the omentum were found. Histological and immunochemical tests confirmed a diagnosis of OSC with squamous differentiation. Debulking surgery with tumor resection was performed. The patient was subsequently received postoperative chemotherapy. Conclusions In summary, OSC with extensive squamous differentiation is a rare, and the inter- and intratumor heterogeneity may be the reason for this phenomenon. Histological diagnostic criteria and biological behavior have not been fully established because of the limited data.https://doi.org/10.1186/s12905-021-01336-yOvarySerous carcinomaSquamous differentiation
spellingShingle Yao Sun
Yuezhou Chen
Xiaofei Zhang
Hao Chen
Feng Zhou
Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
BMC Women's Health
Ovary
Serous carcinoma
Squamous differentiation
title Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
title_full Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
title_fullStr Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
title_full_unstemmed Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
title_short Primary ovarian serous carcinomas with extensive squamous differentiation: a case report and literature review
title_sort primary ovarian serous carcinomas with extensive squamous differentiation a case report and literature review
topic Ovary
Serous carcinoma
Squamous differentiation
url https://doi.org/10.1186/s12905-021-01336-y
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AT xiaofeizhang primaryovarianserouscarcinomaswithextensivesquamousdifferentiationacasereportandliteraturereview
AT haochen primaryovarianserouscarcinomaswithextensivesquamousdifferentiationacasereportandliteraturereview
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