ABSTRACT
The incidence of ectopic choriocarcinoma with primary localization in the uterine cervix is extremely low, with less than hundred cases reported in the English language literature to date. We present a case of primary cervical choriocarcinoma in a 41-year-old woman, originally suspected for cancer of the cervix. After histological investigation, the decision was made for primary surgical treatment due to extensive hemorrhage, finished family planning, and the localization of the tumor. Currently, after six months of follow-up, the patient is disease-free without evidence of recurrence or metastasis. Our case demonstrates an innovative use of the robot-assisted technique, the feasibility and the efficacy of this approach for primary treatment of ectopic choriocarcinoma.
Subject(s)
Choriocarcinoma , Robotics , Uterine Cervical Neoplasms , Pregnancy , Female , Humans , Adult , Uterine Cervical Neoplasms/surgery , Uterine Cervical Neoplasms/pathology , Cervix Uteri/pathology , Treatment Outcome , Choriocarcinoma/surgery , Choriocarcinoma/pathology , HysterectomyABSTRACT
Uterine tumor resembling ovarian sex-cord tumor is a rare group of uterine neoplasms with unknown histogenesis and differentiation towards ovarian sex-cord elements. They are benign in nature with low malignancy potential. Diagnosis is based on immunohistochemistry and morphological features, and the distinction from other more malignant differentials is paramount to correctly individualizing treatment.
Subject(s)
Genital Neoplasms, Female , Ovarian Neoplasms , Sex Cord-Gonadal Stromal Tumors , Uterine Neoplasms , Female , Humans , Uterine Neoplasms/diagnosis , Uterine Neoplasms/pathology , Sex Cord-Gonadal Stromal Tumors/diagnosis , Sex Cord-Gonadal Stromal Tumors/pathology , Ovarian Neoplasms/diagnosis , Ovarian Neoplasms/pathology , ImmunohistochemistryABSTRACT
Endometrioid endometrial adenocarcinoma (EEC) is the most common malignancy of the female genital tract. According to the 2009 FIGO staging system, the depth of myometrial invasion (MI), and tumor spread to adjacent organs or tissues are the staging criteria for endometrial carcinoma (EC). Therefore, assessment of the depth of MI is of great importance. There is a spectrum of morphological patterns of MI. Still, their number and features vary according to the scientific literature, with a certain overlap that creates difficulties and controversies in the precise assessment of MI depth. The purpose of this review is to present and discuss the most important and recent information about patterns of MI, focusing on the more aggressive and the elongated and fragmented glands (MELF) pattern in particular. Assessment of MI depth and correct staging of EC is possible only after the precise recognition of each MI pattern.
ABSTRACT
The villous adenoma is a benign epithelial tumor affecting most often the gastrointestinal tract, especially the colon and rectum. The incidence of this disease in the genitourinary tract is less than 1% as the most commonly affected organs are bladder, urethra, prostate, vulva and vagina. Only several cases of villous adenoma in the renal pelvis have been reported in the scientific literature. The disease is more common in men between the ages of 40 and 70. We presented a rare case of huge villous adenoma of the renal pelvis in 61 years old man.