Ovarian neoplasm Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Relato de Caso

    A borderline ovarian tumor in inguinal canal: case report

    Revista Brasileira de Ginecologia e Obstetrícia. 09-28-2010;32(6):293-297

    Summary

    Relato de Caso

    A borderline ovarian tumor in inguinal canal: case report

    Revista Brasileira de Ginecologia e Obstetrícia. 09-28-2010;32(6):293-297

    DOI 10.1590/S0100-72032010000600007

    Views19

    The symptoms of ovarian tumor are not specific and a rare presentation of the tumor is as the content of an inguinal hernia. We reported a case of an 82-year-old woman, diagnosed with breast cancer and with a concomitant hypoecoic adnexal mass at the ecographic exam. The patient was treated with conservative breast surgery and laparotomy. A cystic-solid ovarian lesion was found inside the right inguinal canal. Frozen-section examination was negative for malignancy, and the anatomopathological analysis revealed a borderline ovarian tumor.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Trabalhos Originais

    Small Cell Carcinoma of the Ovary with Hypercalcemia

    Revista Brasileira de Ginecologia e Obstetrícia. 06-24-2003;23(7):451-455

    Summary

    Trabalhos Originais

    Small Cell Carcinoma of the Ovary with Hypercalcemia

    Revista Brasileira de Ginecologia e Obstetrícia. 06-24-2003;23(7):451-455

    DOI 10.1590/S0100-72032001000700007

    Views16

    Purpose: to evaluate clinical findings, diagnosis and prognosis of three recent hypercalcemic small cell ovarian carcinoma (HSCC) cases treated in our institution. Methods: information concerning epidemiological data and clinical evolution was obtained from the medical record review. Diagnosis was confirmed through histologic evaluation by our Pathology Department. Results: patients were, at diagnosis, 26, 36 and 38 years old. Tumor diameter ranged from 8.8 cm to 23 cm (mean = 14 cm). All patients presented hypercalcemia with total calcium serum levels of 8.9, 10.8 and 16.7 mEq/dL (NV = 8.8 to 10.2) and ionic calcium levels of 1.26, 1.27 and 1.21 mEq/dL respectively (NV = 1.12 to 1.23). All three patients were submitted to surgical treatment and chemotherapy with platinum-based regimens. In two patients the chemotherapy was adjuvant to the primary surgical treatment. Both are alive and disease-free after 2 and 18 months of follow-up. The other patient had initially the diagnosis of granulosa cell tumor, receiving chemotherapy only after tumor recurrence. Now she is alive with tumor 32 months after diagnosis. Conclusion: the main prognostic factors, in the literature and our experience, are the tumor stage at diagnosis, patient's age, presence of hypercalcemia, large cells, tumor diameter, type of surgical treatment and delay of definitive therapy. The ideal treatment of the hypercalcemic small cell ovarian carcinoma remains unknown. Difficulties in determining a standard therapeutic strategy include rarity of the neoplasm, frequently inadequate initial staging, difficulties in histologic diagnosis and multiple therapeutic approaches.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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