Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report

Synchronous endometrial and ovarian carcinoma is a rare instance and it accounts for 50 to 70% of all synchronous female genital tract tumors. However, it is very rare to find synchronous endometrial carcinoma and ovarian sex cord–stromal tumor (thecoma). The present case is a 75-year-old woman with...

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Main Authors: Neha Sethi, Richa Sharma, Nitin Khunteta, Maneesh K Vijay, Chetna Mehrol, M L Yadav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=2;spage=437;epage=439;aulast=Sethi
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author Neha Sethi
Richa Sharma
Nitin Khunteta
Maneesh K Vijay
Chetna Mehrol
M L Yadav
author_facet Neha Sethi
Richa Sharma
Nitin Khunteta
Maneesh K Vijay
Chetna Mehrol
M L Yadav
author_sort Neha Sethi
collection DOAJ
description Synchronous endometrial and ovarian carcinoma is a rare instance and it accounts for 50 to 70% of all synchronous female genital tract tumors. However, it is very rare to find synchronous endometrial carcinoma and ovarian sex cord–stromal tumor (thecoma). The present case is a 75-year-old woman with a complaint of post-menopausal vaginal bleeding. Radiologically, the magnetic resonance imaging (MRI) pelvis revealed altered signal intensity mass in the uterus. Frozen section and routine histopathological examination were done on radical hysterectomy. Microscopically, serous carcinoma involving uterine corpus and left Fallopian tube was identified along with the unusual finding of contralateral ovarian sex cord–stromal tumor (thecoma), which was confirmed on immunohistochemical examination. It is a very rare association and is first reported in the present study after a thorough search of the published literature. Their relationship based on a high level of estrogen produced by the hyperactive ovary is controversial as serous carcinomas are less hormone-dependent.
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spelling doaj.art-8416bb7eda6f4cb7bc70afc828f2af632022-12-22T00:55:54ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292022-01-0165243743910.4103/IJPM.IJPM_1424_20Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case reportNeha SethiRicha SharmaNitin KhuntetaManeesh K VijayChetna MehrolM L YadavSynchronous endometrial and ovarian carcinoma is a rare instance and it accounts for 50 to 70% of all synchronous female genital tract tumors. However, it is very rare to find synchronous endometrial carcinoma and ovarian sex cord–stromal tumor (thecoma). The present case is a 75-year-old woman with a complaint of post-menopausal vaginal bleeding. Radiologically, the magnetic resonance imaging (MRI) pelvis revealed altered signal intensity mass in the uterus. Frozen section and routine histopathological examination were done on radical hysterectomy. Microscopically, serous carcinoma involving uterine corpus and left Fallopian tube was identified along with the unusual finding of contralateral ovarian sex cord–stromal tumor (thecoma), which was confirmed on immunohistochemical examination. It is a very rare association and is first reported in the present study after a thorough search of the published literature. Their relationship based on a high level of estrogen produced by the hyperactive ovary is controversial as serous carcinomas are less hormone-dependent.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=2;spage=437;epage=439;aulast=Sethiserous carcinomasex cord–stromal tumorsynchronous tumorsthecoma
spellingShingle Neha Sethi
Richa Sharma
Nitin Khunteta
Maneesh K Vijay
Chetna Mehrol
M L Yadav
Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
Indian Journal of Pathology and Microbiology
serous carcinoma
sex cord–stromal tumor
synchronous tumors
thecoma
title Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
title_full Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
title_fullStr Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
title_full_unstemmed Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
title_short Synchronous uterine serous carcinoma and ovarian sex cord stromal tumor (thecoma)–A rare first case report
title_sort synchronous uterine serous carcinoma and ovarian sex cord stromal tumor thecoma a rare first case report
topic serous carcinoma
sex cord–stromal tumor
synchronous tumors
thecoma
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=2;spage=437;epage=439;aulast=Sethi
work_keys_str_mv AT nehasethi synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport
AT richasharma synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport
AT nitinkhunteta synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport
AT maneeshkvijay synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport
AT chetnamehrol synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport
AT mlyadav synchronousuterineserouscarcinomaandovariansexcordstromaltumorthecomaararefirstcasereport