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Journal of Korean Medical Science ; : 89-92, 2012.
Artigo em Inglês | WPRIM | ID: wpr-39061

RESUMO

A collision tumor is defined by the presence of two separate masses in one organ, which are pathologically distinct. We described a 70-yr-old patient who complained of abnormal vaginal bleeding with a collision tumor of the uterine corpus. The patient received total hysterectomy, bilateral salphingo-oophorectomy, bilateral pelvic-paraaortic lymphadenectomy, omentectomy, and intraperitoneal chemotherapy. The uterine corpus revealed three separate masses, which were located at the fundus, anterior and posterior wall. Each tumor revealed three pathologically different components, which were malignant mixed mullerian tumor, papillary serous carcinoma, and endometrioid adenocarcinoma. Among these components, only the papillary serous carcinoma component invaded the underlying myometrium and metastasized to the regional lymph node. Adjuvant chemotherapy and radiation therapy were performed. The patient is still alive and has been healthy for the last 8 yr. We have reviewed previously reported cases of collision tumors which have occurred in the uterine corpus.


Assuntos
Idoso , Feminino , Humanos , Inibidores da Aromatase/uso terapêutico , Carcinoma Endometrioide/tratamento farmacológico , Quimioterapia Adjuvante , Cistadenocarcinoma Papilar/tratamento farmacológico , Neoplasias do Endométrio/tratamento farmacológico , Histerectomia , Imuno-Histoquímica , Queratinas/metabolismo , Metástase Linfática , Tumor Mulleriano Misto/tratamento farmacológico , Nitrilas/uso terapêutico , Triazóis/uso terapêutico , Proteína Supressora de Tumor p53/metabolismo
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