Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract

(1) Background: Synchronous tumors are defined as tumors that occur at the same time, appearing within 2 months, according to the Surveillance Epidemiology and End Results Program, with a frequency of tertiary tumors of 0.5%. The purpose of this presentation is to report a case of three synchronous...

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Main Authors: Mădălina Boșoteanu, Raluca Ioana Vodă, Gabriela Izabela Balţǎtescu, Mariana Aşchie, Luana-Andreea Nurla, Cristian Ionuţ Orǎşanu
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Reports
Subjects:
Online Access:https://www.mdpi.com/2571-841X/7/1/14
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author Mădălina Boșoteanu
Raluca Ioana Vodă
Gabriela Izabela Balţǎtescu
Mariana Aşchie
Luana-Andreea Nurla
Cristian Ionuţ Orǎşanu
author_facet Mădălina Boșoteanu
Raluca Ioana Vodă
Gabriela Izabela Balţǎtescu
Mariana Aşchie
Luana-Andreea Nurla
Cristian Ionuţ Orǎşanu
author_sort Mădălina Boșoteanu
collection DOAJ
description (1) Background: Synchronous tumors are defined as tumors that occur at the same time, appearing within 2 months, according to the Surveillance Epidemiology and End Results Program, with a frequency of tertiary tumors of 0.5%. The purpose of this presentation is to report a case of three synchronous tumors of the female genital tract, given the fact that it represents a challenge both therapeutically and in demonstrating that the malignant lesions are completely different from each other. (2) Methods: We report the case of a 45 year-old patient diagnosed with three synchronous tumors developed in the genital tract: clear-cell ovarian carcinoma, uterine endometrioid adenocarcinoma, and cervical adenosquamous carcinoma. (3) Results: Total hysterectomy with bilateral anexectomy was performed and accompanied by a biopsy of the greater omentum. The evolution of the patient was favorable during chemotherapy, but she died two weeks after the completion of this treatment, from a cause secondary to the adverse effects determined by it, namely, severe thrombopenia which caused a massive lower digestive hemorrhage. (4) Conclusions: This case demonstrates the maximum importance of the involvement of adjuvant diagnostic techniques, especially when it comes to a diagnostic challenge with direct implications in the subsequent therapy of the patient.
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spelling doaj.art-e2ce8ae566d84ed6a44cfc63bf0739f42024-03-27T14:02:57ZengMDPI AGReports2571-841X2024-02-01711410.3390/reports7010014Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital TractMădălina Boșoteanu0Raluca Ioana Vodă1Gabriela Izabela Balţǎtescu2Mariana Aşchie3Luana-Andreea Nurla4Cristian Ionuţ Orǎşanu5Clinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 900591 Constanţa, RomaniaClinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 900591 Constanţa, RomaniaClinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 900591 Constanţa, RomaniaClinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 900591 Constanţa, Romania“Elias” Emergency University Hospital, Dermatovenerology Department, 011461 Bucharest, RomaniaClinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 900591 Constanţa, Romania(1) Background: Synchronous tumors are defined as tumors that occur at the same time, appearing within 2 months, according to the Surveillance Epidemiology and End Results Program, with a frequency of tertiary tumors of 0.5%. The purpose of this presentation is to report a case of three synchronous tumors of the female genital tract, given the fact that it represents a challenge both therapeutically and in demonstrating that the malignant lesions are completely different from each other. (2) Methods: We report the case of a 45 year-old patient diagnosed with three synchronous tumors developed in the genital tract: clear-cell ovarian carcinoma, uterine endometrioid adenocarcinoma, and cervical adenosquamous carcinoma. (3) Results: Total hysterectomy with bilateral anexectomy was performed and accompanied by a biopsy of the greater omentum. The evolution of the patient was favorable during chemotherapy, but she died two weeks after the completion of this treatment, from a cause secondary to the adverse effects determined by it, namely, severe thrombopenia which caused a massive lower digestive hemorrhage. (4) Conclusions: This case demonstrates the maximum importance of the involvement of adjuvant diagnostic techniques, especially when it comes to a diagnostic challenge with direct implications in the subsequent therapy of the patient.https://www.mdpi.com/2571-841X/7/1/14cervixovaryp53prognosisuterus
spellingShingle Mădălina Boșoteanu
Raluca Ioana Vodă
Gabriela Izabela Balţǎtescu
Mariana Aşchie
Luana-Andreea Nurla
Cristian Ionuţ Orǎşanu
Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
Reports
cervix
ovary
p53
prognosis
uterus
title Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
title_full Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
title_fullStr Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
title_full_unstemmed Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
title_short Clinico-Morphological Features and Immunohistochemical Profile of a Rare Case of Three Synchronous Primary Malignancies in the Female Genital Tract
title_sort clinico morphological features and immunohistochemical profile of a rare case of three synchronous primary malignancies in the female genital tract
topic cervix
ovary
p53
prognosis
uterus
url https://www.mdpi.com/2571-841X/7/1/14
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