A Case of Ovarian Metastasis from Microinvasive Adenosquamous Carcinoma of the Uterine CervixAkiko Abe1*, Reiko Furuta2, Yutaka Takazawa2, Eiji Kondo1, Kenji Umayahara1 and Nobuhiro Takeshima1
- *Corresponding Author:
- Akiko Abe
Department of Gynecology, Cancer Institute Hospital
3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan
E-mail: [email protected]
Received date: August 23, 2014; Accepted date: September 22, 2014; Published date: September 26, 2014
Citation: Abe A, Furuta R, Takazawa Y, Kondo E, Umayahara K, et al. (2014) A Case of Ovarian Metastasis from Microinvasive Adenosquamous Carcinoma of the Uterine Cervix. Gynecol Obstet (Sunnyvale) 4:248. doi: 10.4172/2161-0932.1000248
Copyright: © 2014 Abe A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Ovarian metastasis is rare in cases of early-stage uterine cervical cancer. For the patients with stage 1b cervical cancer, the incidences of ovarian metastasis were 0.22% of squamous cell carcinoma and 3.72% of adenocarcinoma. The safety of ovarian preservation is controversial for young women, although these women may find it important to preserve fertility.
Case: A 36-year-old Japanese woman underwent a loop electrosurgical excision procedure for cervical adenosquamous carcinoma with invasion of 0.8 mm in depth and 1 mm in horizontal extent. She wished to preserve her fertility and was therefore followed up without additional treatments. Thirty months after the loop electrosurgical excision procedure, she had 10 cm-diameter ovarian tumors and underwent hysterectomy, bilateral salpingooophorectomy, appendectomy. This ovarian tumor was revealed to metastasis from cervical carcinoma.
Conclusion: To our knowledge, this is first reported case of ovarian metastasis with microinvasive adenosquamous cell carcinoma. The pathological characteristics are important for prognosis: frequent small foci of invasion and high atypia.