ABSTRACT
El cáncer de ovario es la segunda neoplasia maligna ginecológica más común, pero la principal causa de muerte entre las mujeres que padecen algún cáncer ginecológico. El hallazgo de metástasis a distancia en cáncer de ovario tanto en el diagnostico como durante el seguimiento, se encuentra en cerca del 18 por ciento de las pacientes. Las metástasis en piel se han reportado en cifras menores a un 4 por ciento. El compromiso cutáneo se ha descrito como un fenómeno tardío en la historia natural de la, enfermedad, reportándose una sobrevida promedio de 4 meses, posterior al hallazgo de la metástasis en piel. En éste trabajo se reporta el caso de una paciente con éste tipo de diseminación metastásica en piel, junto con una revisión bibliográfica del tema.
Ovarian carcinoma is the second most common gynecologic neoplasm, but it is still the main cause of death among the gynecologic tumors in women. Distant metastases are found in 18 percent of the patients with ovarian carcinoma. Skin metastases of ovarian carcinoma are very rare. It has been reported in almost 4 percent and in some cases as the first manifestation of the disease. Skin metastases have been described as a late manifestation during the natural history of the disease, reporting an average of 4 month survival after the finding of skin lesions. In this paper a case of a patient with this type of metastatic dissemination on skin is reported, including a bibliographic review of the literature.
Subject(s)
Humans , Female , Middle Aged , Adenocarcinoma, Papillary/secondary , Skin Neoplasms/secondary , Ovarian Neoplasms/pathology , Fatal OutcomeABSTRACT
We present an interesting case of port site metastasis is a menopausal women subsequent to diagnostic laparoscopy undertaken for chronic pelvic pain, which later proved early ovarian malignancy as the source of primary. While cases of port site metastasis have mostly occurred after extensive disease the possbility of such complication should be in mind at laparoscopy of early cancer.
Subject(s)
Adenocarcinoma, Papillary/secondary , Female , Humans , Laparoscopy/adverse effects , Middle Aged , Neoplasm Metastasis , Neoplasm Seeding , Ovarian Neoplasms/pathology , Pelvic Pain/diagnosisABSTRACT
Os autores apresentam um caso clinico de tumor metastatico em coluna vertebral de adenocarcinoma papilifero de vesicula biliar com a peculiaridade da manifestacao clinica preceder a do tumor primario. Trata-se de uma mulher de 49 anos,que apresentou paraplegia crural (biopsia de coluna vertebral: adenocarcinoma papilifero) e quatro meses apos ficou icterica (diagnosticou-se adenocarcinoma da vesicula biliar). Os autores desconhecem caso similar publicado na literatura medica. O caso clinico apresentado destaca a importancia de se considerar o adenocarcinoma da vesicula biliar no diagnostico diferencial das metastases em coluna vertebral, em pacientes anictericos e sem evidencia de sinais ou sintomas relativos ao tumor primario