scholarly journals A Case of Early-Stage Ovarian Carcinoid Tumor Metastasized to the Liver

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Seiji Kanayama ◽  
Yoshihiko Yamada ◽  
Yasuhito Tanase ◽  
Shoji Haruta ◽  
Akira Nagai ◽  
...  

We report a case of ovarian carcinoid tumor that recurred with multiple liver metastases and was successfully treated with chemoembolization. A 76-year-old woman was admitted to our hospital presented with abdominal distension and abnormal uterine bleeding for about 6 months. She presented with hyperestrogenic and androgenic manifestations such as vaginal bleeding with endometrial hyperplasia and hirsutism. Magnetic resonance (MR) imaging revealed a large solid and cystic ovarian tumor of 17 cm at maximum diameter. On the basis of the clinical diagnosis of sex cord stromal tumor containing a mature cystic teratoma, she underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy. The pathology report revealed that the mass in the left ovary was a carcinoid tumor, insular type, with mature cystic teratoma. Two years after surgical treatment, multiple liver metastases were revealed by abdominal CT. Hepatic arterial infusion of cisplatin was performed for 2 courses, and multiple metastatic nodules have remarkably reduced. No established chemotherapy or radiation therapy treatments are currently available for recurrent or advanced carcinoid tumors. Our paper suggests that chemoembolization with cisplatin may be effective in treatment of patients with multiple liver metastases of ovarian carcinoid tumor.

2018 ◽  
Vol 59 (5) ◽  
pp. 520-522
Author(s):  
Po-Wei Huang ◽  
Yen-Lin Liu ◽  
James S. Miser ◽  
Chii-Hong Lee ◽  
Chun-Yu Kao ◽  
...  

2010 ◽  
Vol 71 (3) ◽  
pp. 619-620 ◽  
Author(s):  
Hoon Jai Chun ◽  
Yoon-Tae Jeen ◽  
Sung Chul Park ◽  
Bora Keum ◽  
Yeon Seok Seo ◽  
...  

2020 ◽  
Author(s):  
Heesuk Chae

Abstract Background We investigated the incidence of endometriosis in women with mature cystic ovarian teratoma and analyzed the clinicopathologic features of this occurrence. Methods From January 2017 through December 2018, we retrospectively studied 71 women who had undergone cystectomy for mature cystic ovarian teratoma (n = 55, teratoma group) and coexistence of endometriosis and mature cystic ovarian teratoma (n = 16, complex group). Serum anti-Müllerian hormone (AMH) levels were measured preoperatively and one month after surgery. Results Sixteen (22.54%) patients had coexistence of endometriosis and mature cystic ovarian teratoma (complex group); 55 patients had mature cystic teratoma alone (teratoma group). Early-stage endometriosis (stage I) was present in eight patients and advanced-stage endometriosis (stage III or IV) was present in eight. In five cases (31.25%), the coexistence of endometrioma and mature cystic teratoma in the same ovary was observed. The mean operation time was significantly shorter in the teratoma group than in the complex group (61.02 ± 22.74 vs. 86.31 ± 35.35 min, p = 0.007). The complex group had more dysmenorrhea (43.8% vs. 7.3%, p = 0.002) and a significantly higher rate of decrease in serum anti-Müllerian hormone (AMH) levels (33.06 ± 24.92 vs. 16.31 ± 28.17%, p = 0.048). Conclusion(s) The prevalence of coexisting endometriosis and mature cystic ovarian teratoma may be underestimated. Patients with this rare concurrence may present with worsening dysmenorrhea and damage to ovarian reserve after surgery may be greater in patients with coexisting endometriosis than in patients with mature cystic teratoma alone.


2015 ◽  
Vol 9 (5) ◽  
pp. 2236-2238 ◽  
Author(s):  
ZEYNEP TOSUNER ◽  
FATMA CAVİDE SÖNMEZ ◽  
DİLEK SEMA ARICI ◽  
RAMAZAN DANSUK

2014 ◽  
Vol 30 (1) ◽  
pp. 236-239
Author(s):  
Yuki Yamazaki ◽  
Yoshihiro Yamakawa ◽  
Michiyo Ushijima ◽  
Hiroki Waki ◽  
Kiyoshi Katou

Author(s):  
Kuang-Ting Liu ◽  
◽  
Yueh-Ching Chang ◽  
Yu-Chieh Lin ◽  
Junn-Liang Chang ◽  
...  

Primary ovarian carcinoid tumors are extremely rare. Ovarian strumal carcinoid is usually derived from mature cystic teratoma, an ovarian germ cell tumor composed of two distinctive components characteristic thyroid tissue intermixed with a carcinoid tumor. The incidence of stromal carcinoid tumor is accounting for 0.3-1% of all ovarian tumors and 3% of all mature teratomas. Herein, we report a 25-year-old female presented with severe abdominal pain. She had right struma ovarii after Laparoscopic-Assisted Ovarian Cystectomy (LAOC) procedure one year ago. The sonography of abdomen images study demonstrated a well capsulated cystic mass measured up to 11 cm in dimension. The mature cystic teratoma was the first diagnostic possibility. She underwent the laparoscopy-assisted left ovarian cystectomy. Histopathological and immunohistochemical examinations confirmed strumal Carcinoid Tumor of the Ovary (SCTO) arising from strum ovarii in the left ovary. She was recovered well and was still asymptomatic after two years follow-up. In conclusion, we first describe the primary SCTO arising from a heterochronous struma ovarii. The symptoms of SCTO are usually non-specific and misleading. Therefore, it is important to fully understand the characteristics, diagnosis and management of SCTO. Diagnosis should be confirmed by pathology and immunohistochemistry, and clinically metastatic carcinoid should be excluded.


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