Cargando…

Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report

Tubal metastasis from endocervical adenocarcinoma is uncommon and is discovered as an incidental finding on routine sampling of fallopian tubes. In this paper, we present the case of an 81-year-old woman who presented with an adnexal mass during investigations of postmenopausal bleeding. Hysterectom...

Descripción completa

Detalles Bibliográficos
Autores principales: Aljhdali, Hessa, Balega, Janos, Williams, Anthony, Ganesan, Raji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425887/
https://www.ncbi.nlm.nih.gov/pubmed/37588989
http://dx.doi.org/10.1016/j.crwh.2023.e00532
_version_ 1785089935768813568
author Aljhdali, Hessa
Balega, Janos
Williams, Anthony
Ganesan, Raji
author_facet Aljhdali, Hessa
Balega, Janos
Williams, Anthony
Ganesan, Raji
author_sort Aljhdali, Hessa
collection PubMed
description Tubal metastasis from endocervical adenocarcinoma is uncommon and is discovered as an incidental finding on routine sampling of fallopian tubes. In this paper, we present the case of an 81-year-old woman who presented with an adnexal mass during investigations of postmenopausal bleeding. Hysterectomy and bilateral salpingo-oophorectomy with excision of the left adnexal mass were performed, which led to the diagnosis of an incidental HPV-associated endocervical adenocarcinoma with secondary, macroscopic tubal involvement. The patient received adjuvant pelvic radiotherapy and remained well after three months of follow-up, with no evidence of recurrence. Only a few cases of endocervical adenocarcinoma with tubal metastasis have been reported in the literature, which are commonly associated with ovarian, uterine corpus, and/or parametrial tissue involvement. To date, there are only two reported cases of isolated tubal metastasis, and in both cases, tubal involvement was discovered microscopically. Data on the impact of secondary tubal involvement on patient outcomes are limited.
format Online
Article
Text
id pubmed-10425887
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-104258872023-08-16 Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report Aljhdali, Hessa Balega, Janos Williams, Anthony Ganesan, Raji Case Rep Womens Health Article Tubal metastasis from endocervical adenocarcinoma is uncommon and is discovered as an incidental finding on routine sampling of fallopian tubes. In this paper, we present the case of an 81-year-old woman who presented with an adnexal mass during investigations of postmenopausal bleeding. Hysterectomy and bilateral salpingo-oophorectomy with excision of the left adnexal mass were performed, which led to the diagnosis of an incidental HPV-associated endocervical adenocarcinoma with secondary, macroscopic tubal involvement. The patient received adjuvant pelvic radiotherapy and remained well after three months of follow-up, with no evidence of recurrence. Only a few cases of endocervical adenocarcinoma with tubal metastasis have been reported in the literature, which are commonly associated with ovarian, uterine corpus, and/or parametrial tissue involvement. To date, there are only two reported cases of isolated tubal metastasis, and in both cases, tubal involvement was discovered microscopically. Data on the impact of secondary tubal involvement on patient outcomes are limited. Elsevier 2023-08-03 /pmc/articles/PMC10425887/ /pubmed/37588989 http://dx.doi.org/10.1016/j.crwh.2023.e00532 Text en © 2023 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Aljhdali, Hessa
Balega, Janos
Williams, Anthony
Ganesan, Raji
Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title_full Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title_fullStr Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title_full_unstemmed Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title_short Isolated tubal metastasis from an incidental HPV-associated endocervical adenocarcinoma presented as an adnexal mass: A case report
title_sort isolated tubal metastasis from an incidental hpv-associated endocervical adenocarcinoma presented as an adnexal mass: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425887/
https://www.ncbi.nlm.nih.gov/pubmed/37588989
http://dx.doi.org/10.1016/j.crwh.2023.e00532
work_keys_str_mv AT aljhdalihessa isolatedtubalmetastasisfromanincidentalhpvassociatedendocervicaladenocarcinomapresentedasanadnexalmassacasereport
AT balegajanos isolatedtubalmetastasisfromanincidentalhpvassociatedendocervicaladenocarcinomapresentedasanadnexalmassacasereport
AT williamsanthony isolatedtubalmetastasisfromanincidentalhpvassociatedendocervicaladenocarcinomapresentedasanadnexalmassacasereport
AT ganesanraji isolatedtubalmetastasisfromanincidentalhpvassociatedendocervicaladenocarcinomapresentedasanadnexalmassacasereport