A Rare Case of Grade 1 Endometrioid Adenocarcinoma of the Uterus With Omental Metastasis with Brenner Tumor of the Ovary in a Postmenausal Female

A Rare Case of Grade 1 Endometrioid Adenocarcinoma of the Uterus With Omental Metastasis with Brenner Tumor of the Ovary in a Postmenopausal Female.

• Rashmi Bagga
• Rubina Pandit
• Pradip Kumar Saha
• Jasvinder Kalra
• Tanuja Muthyala
• Nalini Gupta
• Tulika Singh
• Bhavna Rai

抄録

早期の子宮内膜がんは、予後不良と関連した顕微鏡的な卵巣転移を有することがある。危険因子を伴わない早期子宮内膜がんにおける卵巣摘出術の標準ガイドラインはない。ブレンナー腫瘍は稀な卵巣腫瘍で、通常は良性ですが、まれに悪性の場合もあります。ブレンナー腫瘍の中には内分泌学的に活発なものもあります。様々な研究で、ブレナー腫瘍と子宮内膜過形成、ポリープ、早期癌との関連が示されているが、これはおそらくそのエストロゲン分泌性のためであろう。我々は、閉経後の女性の卵巣の良性ブレナー腫瘍と関連した卵巣転移を伴う子宮内膜浸潤が50％未満の子宮内膜腺癌の稀な症例を報告する。

Early-stage endometrial cancer may have microscopic omental metastases which is associated with a poor prognosis. There are no standard guidelines for omentectomy in early-stage endometrial cancer without risk factors. Brenner tumor is a rare ovarian tumor which is usually benign, but rarely, it may be malignant. Some Brenner tumors are endocrinologically active. Various studies have shown an association of Brenner tumor with endometrial hyperplasia, polyp, or early-stage carcinoma, probably due to its estrogen-secreting nature. We report a rare case of well-differentiated endometrioid adenocarcinoma of the uterus with <50% myometrial invasion with omental metastases associated with benign Brenner tumor of the ovary in a postmenopausal female.

Copyright: © 2020 Journal of Mid-life Health.