RESUMO
Abstract Introduction Malignant mesonephric tumors are uncommon in the female genital tract, and they are usually located where embryonic remnants of Wolffian ducts are detected, such as the uterine cervix. The information about these tumors, their treatment protocol, and prognosis are scarce. Case report A 60-year-old woman with postmenopausal vaginal bleeding was initially diagnosed with endometrial carcinoma. After suspicion co-testing, the patient underwent a loop electrosurgical excision of the cervix and was eventually diagnosed with mesonephric adenocarcinoma. She was subjected to a radical hysterectomy, which revealed International Federation of Gynecology and Obstetrics (FIGO) IB1 stage, and adjuvant radiotherapy. The follow-up showed no evidence of recurrence after 60 months. Conclusion We present the case of a woman with cervical mesonephric adenocarcinoma. When compared with the literature, this case had the longest clinical follow-up without evidence of recurrence, which reinforces the concept that these tumors are associated with a favorable prognosis if managed according to the guidelines defined for the treatment of patients with cervical adenocarcinomas. Though a rare entity, it should be kept in mind as a differential diagnosis for other cervical cancers.
Assuntos
Humanos , Feminino , Neoplasias do Colo do Útero/diagnóstico , Mesonefroma/diagnóstico , Neoplasias do Colo do Útero/cirurgia , Neoplasias do Colo do Útero/embriologia , Neoplasias do Colo do Útero/patologia , Radioterapia Adjuvante , Diagnóstico Diferencial , Histerectomia , Mesonefroma/cirurgia , Mesonefroma/embriologia , Mesonefroma/patologia , Pessoa de Meia-Idade , Invasividade NeoplásicaRESUMO
Paciente de 12 años de edad, con dolor y tumor abdominal, sin antecedentes patológicos de importancia, a quien se practicó laparotomía exploradora, encontrándose tumor ovárico izquierdo de 15 x 10 x 8 centímetros, con peso de 390 gramos y cuyo estudio histo-patológico reveló Tumor del Seno Endodérmico. Se encontró también un tumor más pequeño, de 8 centímetros de diámetro en el ovario derecho y cuyo estudio reveló que se trataba de un Teratoma Quístico