ABSTRACT
Tumores ginecológicos primarios dobles sincrónicos son relativamente frecuentes. Sin embargo los triples sincrónicos son extremadamente raros, más aún si uno de ellos es un tumor ginecológico extremadamente infrecuente, como es el cáncer de la trompa de Fallopio. Presentamos el caso de una mujer de 39 años con cánceres primarios sincrónicos del cuello uterino, ovario y trompa de Fallopio. No hay muchos casos descritos en la literatura, y casi todos ellos están relacionados con la mutación MSH2 (síndrome de Lynch) o BCRA. Es difícil diagnosticar un cáncer sincrónico preoperatoriamente y habitualmente son hallazgos después de cirugía profiláctica efectuada en pacientes con historia familiar de cáncer.
Double synchronous primary tumors of gynecological cancers are a relative common finding. However, triple synchronous primary gynecological cancers are an extremely rare event and even more if one of them it's the rarest gynecological tumor: the fallopian tube cancer. We present a 39- years old patient with synchronous cervical, fallopian tube and ovarian primary tumors. There are no many cases about similar reported in the literature and almost of all them have been related with gene mutations like MSH2 (Lynch syndrome) or BCRA. To diagnose synchronous cancers preoperatively is difficult and theyre usually unexpected findings after prophylactic surgery practiced in patients with family history of cancer.
Subject(s)
Humans , Adult , Female , Neoplasms, Multiple Primary , Ovarian Neoplasms/pathology , Fallopian Tube Neoplasms/pathology , Uterine Cervical Neoplasms/pathology , Adenocarcinoma , Lymphatic Metastasis , Ovarian Neoplasms/surgery , Fallopian Tube Neoplasms/surgery , Uterine Cervical Neoplasms/surgeryABSTRACT
Se describe un raro caso de endometriosis rectovaginal con compromiso ganglionar en mujer de 33 años. La presencia de tejido endometrial en ganglios linfáticos pélvicos es rara y ha sido confirmada en la literatura en mujeres que han sido sometidas a cirugía por endometriosis. La presencia de endometriosis en los ganglios linfáticos pélvicos es muy improbable que surja de novo y sugiere extensión de la enfermedad.
A rare case of rectovaginal endometriosis with lymph node involvement is described in a 33-year-old patient. The presence of endometrial tissue in pelvic lymph nodes is rare and has been confirmed in the literature in subjects who underwent surgery for endometriosis. Involvement of pelvic lymph nodes by endometriosis seems unlikely to arise de novo and probably suggests lymphatic spread of the disease.