Endometrioid Carcinoma of the Ovary
and Uterus: Synchronous Primaries
or Metastasis: A Case Report
875-879
Correspondence
Dr. Eswari V.
Assistant Professor, Dept. of Pathology
Meenakshi Medical College Hospital & Research Institute
Enathur, Near Kanchipuram, Tamil Nadu.
dreswarimd@gmail.com. Phone No. 9444510656.
Synchronous endometrioid carcinoma of the uterine corpus and ovary is an uncommon but well known phenomenon. Such cases may represent either two primary tumours or a single primary and associated metastasis. There are significant clinical implications with either diagnosis. We present a case of a 48 year old unmarried women who came to our hospital with Right ovarian mass measuring 13cm. Total abdominal hysterectomy with bilateral salphingoopherectomy was done. Histological examination showed well differentiated endometrioid ovarian cancer and well differentiated endometrioid endometrial cancer with squamous differentiation and metastasis of the endometrial cancer to the cervix. Patients with synchronous endometroid tumours of the endometrium and ovary are generally younger,tend to be of low grade and the prognosis of endometrioid type carcinoma is better than other histological types of carcinoma. Immunohistochemistry plays an important role to differentiate single primary with metastasis and dual primaries especially at places with limited resources.