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Tumor de colisión de útero. Reporte de caso y revisión de la literatura

OBJECTIVES: To report the case of a patient with a uterine collision tumor and to conduct a review of the literature. MATERIAL AND METHODS: A 76-year-old patient who presented to the national cancer referral center in Bogota (Colombia), where she was diagnosed with a uterine collision tumor consisti...

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Detalles Bibliográficos
Autores principales: Ruiz-Echeverría, Franco Rafael, Beltrán-Salazar, María Islena, Caicedo-Páez, Lina María, Palencia-Palacios, Maribel, Salazar-Silva, Catherin, Viveros-Carreño, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Federación Colombiana de Obstetricia y Ginecología; Revista Colombiana de Obstetricia y Ginecología 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652777/
https://www.ncbi.nlm.nih.gov/pubmed/37937912
http://dx.doi.org/10.18597/rcog.4011
Descripción
Sumario:OBJECTIVES: To report the case of a patient with a uterine collision tumor and to conduct a review of the literature. MATERIAL AND METHODS: A 76-year-old patient who presented to the national cancer referral center in Bogota (Colombia), where she was diagnosed with a uterine collision tumor consisting of a serous-type endometrial adenocarcinoma and a cervical adenosarcoma. The patient underwent surgical treatment followed by chemotherapy and supplemental radiotherapy, and died 16 months later. A search was conducted in the Medline via PubMed and Embase databases, including reports and case series of women with a diagnosis of uterine collision tumor, with retrieval of information regarding diagnosis, treatment and prognosis. A narrative summary of the findings was made. RESULTS: The search identified 36 titles, of which 14 studies with 17 patients were included. The most frequent histopathological diagnosis was endometrial adenocarcinoma and high and low grade endometrial sarcoma (47 %). Primary treatment was surgery and adjuvant treatment with chemotherapy and radiotherapy (15 %) was performed in close to 50 % of cases. One-year survival was 75 %. CONCLUSIONS: No cases of uterine collision tumors with the histopathology or in the location of the reported case were found in the literature. If this reported case is taken into account, 2-year mortality is 28 %. Further studies to describe the immunohistochemistry, treatment and prognosis of this condition are needed.