Tagashira Y, Shimada M, Kigawa J, Iba T, Terakawa N. Ovarian endometrioid adenocarcinoma arising from endometriosis in a young woman.
Gynecol Oncol 2003;
91:643-7. [PMID:
14675692 DOI:
10.1016/j.ygyno.2003.08.005]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND
The risk of ovarian cancer increases in women with a long history of ovarian endometriosis, particularly in postmenopausal women. We present here a case of malignant transformation of endometriosis occurring over a short time in a young woman.
CASE
The 27-year-old woman underwent laparoscopic cystectomy and was diagnosed with left ovarian endometrioma with an accompanying high level of serum CA125 (734.6 U/mL). Fourteen months later, she underwent cytoreductive surgery for her ovarian cancer. Histological examination revealed endometrioid adenocarcinoma with transitions between endometriosis and adenocarcinoma. She was diagnosed as having stage IIIc of ovarian cancer with paraaortic lymphnode involvement.
CONCLUSION
We suggest that endometrial cyst of the ovary associated with high levels of serum CA125 should be managed with special care even in a young woman.
Collapse