Mesonephric carcinoma of the cervix associated with ovarian serous carcinoma: a case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2024-10-15 eCollection Date: 2024-10-01 DOI:10.1093/omcr/omae117
Ayoub Kharkhach, Asmae Bali, Said Afqir, Tariq Bouhout, Badr Serji
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引用次数: 0

Abstract

Malignant mesonephric tumor of the uterine cervix is an extremely uncommon subtype of cervical adenocarcinoma with rare, documented cases in the literature. In this report, we present a case of 58 yo, with abdominal pain and ascites that was found to have a synchronous presence of a mesonephric adenocarcinoma of the cervix and advanced serous ovarian carcinoma on the surgical specimen. The histological study identified a tumor showing a mix of tubular and ductal growth patterns. Immunohistochemical analyses were positive for cytokeratin, vimentin, calretinin and CD10. However, the tumor cells were negative for estrogen receptor and progesterone receptor. The patient received neoadjuvant chemotherapy with a combination of carboplatin and gemcitabine followed by optimal debulking surgery and was alive after 18 months of follow up. The management of this rare case remains unclear due to the absence of management guidelines.

宫颈中肾癌伴卵巢浆液性癌:病例报告。
宫颈间质恶性肿瘤是宫颈腺癌中极为罕见的亚型,文献中罕见病例。在本报告中,我们介绍了一例 58 岁的患者,腹痛、腹水,在手术标本中发现宫颈间质腺癌和晚期浆液性卵巢癌同步存在。组织学研究发现,肿瘤呈现管状和导管状混合生长模式。免疫组化分析显示,细胞角蛋白、波形蛋白、钙凝蛋白和 CD10 均呈阳性。但是,肿瘤细胞的雌激素受体和孕酮受体呈阴性。患者接受了卡铂和吉西他滨联合新辅助化疗,随后接受了最佳剥离手术,随访18个月后仍存活。由于缺乏管理指南,这一罕见病例的治疗方法仍不明确。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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