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Case Report

Synchronous Cervical Adenocarcinoma and Ovarian Serous Adenocarcinoma—A Case Report and Literature Review

by
Nicolae Bacalbasa
1,2,3,†,
Irina Cecilia Balescu
4,5,*,
Camelia Diaconu
6,7,†,
Simona Dima
3,
Laura Iliescu
7,8,†,
Mihaela Vilcu
9,10,
Alexandru Filipescu
1,11,†,
Ioana Halmaciu
12,
Dragos Cretoiu
13,14 and
Iulian Brezean
9,10
1
Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
2
Department of Obstetrics and Gynecology, “I. Cantacuzino” Clinical Hospital, 030167 Bucharest, Romania
3
Department of Visceral Surgery, Center of Excellence in Translational Medicine “Fundeni” Clinical Institute, 022328 Bucharest, Romania
4
Department of Surgery, “Ponderas” Academic Hospital, 021188 Bucharest, Romania
5
Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
6
Department of Internal Medicine, “Floreasca” Clinical Emergency Hospital, 105402, Bucharest, Romania
7
Department of Internal Medicine, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
8
Department of Internal Medicine, “Fundeni” Clinical Institute, 022328 Bucharest, Romania
9
Department of Visceral Surgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
10
Department of Visceral Surgery, “I. Cantacuzino” Clinical Hospital, 030167 Bucharest, Romania
11
Department of Obstetrics and Gynecology, “Elias” Emergency Hospital, 105402 Bucharest, Romania
12
Department of Anatomy, “George Emil Palade” University of Medicine, Pharmacy, Science and Technology, 540139 Târgu Mureș, Romania
13
“Alessandrescu-Rusescu” National Institute of Mother and Child Health, Fetal Medicine Excellence Research Center, 020395 Bucharest, Romania
14
Department of Cell and Molecular Biology and Histology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
 
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*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Medicina 2020, 56(4), 152; https://doi.org/10.3390/medicina56040152
Submission received: 9 February 2020 / Revised: 16 March 2020 / Accepted: 24 March 2020 / Published: 29 March 2020
(This article belongs to the Special Issue Interdisciplinary Medicine)
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Abstract

Background/Aim: Synchronous gynecological malignancies are rarely encountered, and most often these cases are represented by synchronous ovarian and endometrial cancer. The aim of this paper is to present the case of a 53-year-old patient who was diagnosed with synchronous cervical and ovarian cancer. Case presentation: The patient had been initially investigated for vaginal bleeding and was submitted to a biopsy confirming the presence of a cervical adenocarcinoma. Once the diagnostic of malignancy was confirmed, the patient was submitted to a computed tomography which revealed the presence of large abdominal tumoral nodules of peritoneal carcinomatosis and was submitted to palliative chemotherapy with poor response. Eighteen months later she developed intestinal obstruction and was submitted to surgery. At that moment, synchronous ovarian and cervical tumors were diagnosed. Total radical hysterectomy with bilateral adnexectomy, pelvic and para-aortic lymph node dissection, omentectomy, and pelvic peritonectomy was performed; in the meantime, the histopathological studies confirmed the presence of two synchronous malignancies. Conclusion: Although synchronous lesions are rarely encountered, this eventuality should not be omitted. In such cases, surgery should be taken in consideration and the intent of radicality should regard both lesions.
Keywords: synchronous malignancies; cervical adenocarcinoma; serous ovarian adenocarcinoma synchronous malignancies; cervical adenocarcinoma; serous ovarian adenocarcinoma

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MDPI and ACS Style

Bacalbasa, N.; Balescu, I.C.; Diaconu, C.; Dima, S.; Iliescu, L.; Vilcu, M.; Filipescu, A.; Halmaciu, I.; Cretoiu, D.; Brezean, I. Synchronous Cervical Adenocarcinoma and Ovarian Serous Adenocarcinoma—A Case Report and Literature Review. Medicina 2020, 56, 152. https://doi.org/10.3390/medicina56040152

AMA Style

Bacalbasa N, Balescu IC, Diaconu C, Dima S, Iliescu L, Vilcu M, Filipescu A, Halmaciu I, Cretoiu D, Brezean I. Synchronous Cervical Adenocarcinoma and Ovarian Serous Adenocarcinoma—A Case Report and Literature Review. Medicina. 2020; 56(4):152. https://doi.org/10.3390/medicina56040152

Chicago/Turabian Style

Bacalbasa, Nicolae, Irina Cecilia Balescu, Camelia Diaconu, Simona Dima, Laura Iliescu, Mihaela Vilcu, Alexandru Filipescu, Ioana Halmaciu, Dragos Cretoiu, and Iulian Brezean. 2020. "Synchronous Cervical Adenocarcinoma and Ovarian Serous Adenocarcinoma—A Case Report and Literature Review" Medicina 56, no. 4: 152. https://doi.org/10.3390/medicina56040152

APA Style

Bacalbasa, N., Balescu, I. C., Diaconu, C., Dima, S., Iliescu, L., Vilcu, M., Filipescu, A., Halmaciu, I., Cretoiu, D., & Brezean, I. (2020). Synchronous Cervical Adenocarcinoma and Ovarian Serous Adenocarcinoma—A Case Report and Literature Review. Medicina, 56(4), 152. https://doi.org/10.3390/medicina56040152

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