scholarly journals Relato de caso: adenocarcinoma retossigmoide com metástase para ovário esquerdo – tumor de krukenberg / Case report: retosigmoid adenocarcinoma with metastasis for left ovary - krukenberg tumor

2021 ◽  
Vol 7 (8) ◽  
pp. 77626-77638
Author(s):  
Helen Brambila Jorge Pareja ◽  
José Roberto Vidotto Júnior ◽  
Milton Mendes Cattini ◽  
Alessandro Luiz Gonçalves ◽  
Aryssa Anielli Sakai ◽  
...  
2008 ◽  
Vol 158 (1) ◽  
pp. 131-134 ◽  
Author(s):  
Vincent Lavoué ◽  
Karine Morcel ◽  
Philippe Bouchard ◽  
Charles Sultan ◽  
Catherine Massart ◽  
...  

IntroductionMcCune–Albright syndrome (MAS) is characterized by peripheral precocious puberty, café-au-lait spots, and polyostotic fibrous dysplasia. This syndrome is due to a post-zygotic mutation of the GNAS1 gene with mosaic distribution and unilateral predominance. Clinical manifestations depend on the tissues carrying the mutation. We describe the ovarian function before and after unilateral ovariectomy in a woman with MAS and bilateral distribution of the GNAS1 gene mutation.Case reportA 33-year-old patient, previously diagnosed as having MAS, presented irregular menstrual cycles (30–180 days) and monophasic temperature curves. Transvaginal ultrasound and blood tests were repeated at 3-day intervals over 3 months. Findings included a persistent quiescent left ovary, a persistent polycystic right ovary, constantly high estradiol-17β (E2) levels, and very low FSH and LH levels. She also presented severe persistent pelvic pain. Because of unilateral ovarian activity, a unilateral right ovariectomy was performed as well as biopsy of the remaining left ovary. A GNAS1 gene mutation was identified in both ovaries. A regular monthly menstrual cycle was immediately restored. On day 3 of the menstrual cycle, E2 level was 30 pg/ml, FSH level was 7.5 mIU/ml, and LH level was 6.4 mIU/ml. On day 17, pelvic ultrasound showed one follicle of 25 mm in the left ovary. On day 21, the progesterone level was 13.1 ng/ml.DiscussionThis is the first report of ovulation being restored following unilateral ovariectomy in an adult patient suffering from severe MAS with GNAS1 gene mutation identified in both ovaries.


Author(s):  
Michail Kirmanidis ◽  
Christodoulos Keskinis ◽  
Ioannis Kariotis ◽  
Anastasios Chatziaggelou ◽  
Maria Sachanidou
Keyword(s):  
Ca 125 ◽  

2020 ◽  
Vol 8 (7) ◽  
pp. 663-665
Author(s):  
Dahmane Hicham ◽  
Alazaoui F ◽  
Mouatassim Z ◽  
Chakiri A ◽  
El Malki HO ◽  
...  
Keyword(s):  

2020 ◽  
Vol 4 (3) ◽  

Endometriosis is defined as ectopic presence of endometrial tissue outside of uterine cavity. Superficial peritoneal endometriosis is characterized by small superficial lesions modifying from white to dark brown shades. Dimension goes from few millimetres to 3 centimetres. We report a case of a 38 years old patient who has not had a signification in gynaecological pathology until five-six months before the gynecological check, when dysmenorrhea conditions associated at depth dyspareunia arose. Clinical and ultrasound investigations showed the presence of a pelvic cystic lesion, around 5 cm in diameter, diagnosed in the first instance as endometriotic cyst of the left ovary. The cystic lesion in the pelvis was confirmed by laparoscopic inspection. Really it was a large peritoneal implant (the left ovary was perfectly normal). The pathological report confirmed that a component of the lesion had nodules of florid endometriosis. It doesn’t exist ovarian cortex, but definitely a responsive mesothelium: the examined tissue has to be diagnosed with peritoneal endometriotic implant. Conclusions We refer to a case of peritoneal endometriotic implantation that has unusual dimensions (5 cm in diameter) late-onset in a woman who has experienced a specific symptomatology only in the last 6 months before the diagnosis


2009 ◽  
Vol 54 (No. 8) ◽  
pp. 379-381 ◽  
Author(s):  
B. Blaszak ◽  
M. Walkowski ◽  
M. Ibbs ◽  
J.M. Jaskowski

This case report concerns a two year old female mongrel weighing about 25 kg which was admitted to an animal shelter. A grapefruit-sized mass was found in the animal’s left ovary during a routinely performed ovariohysterectomy. On sectioning, the mass revealed cysts containing tufts of hair in creamy white sebaceous fluid. A histological examination revealed a mixture of tissues. The tumor was diagnosed as a mature teratoma (teratoma adultum).


2016 ◽  
Author(s):  
Umesh Jethwani ◽  
Divya Jethwani

Introduction: Sertoli-Leydig cell tumor (SLCT) is a rare ovarian tumor, Constitute less than 0.5% of ovarian tumors. Most tumors are unilateral, confined to the ovaries. They are seen during the second and third decades of life. They are characterized by the presence of testicular structures that produce androgens. Patients have symptoms of virilization (depending on the quantity of androgen). Case Report: A 42-year-old woman presented Amenorrhea for 14 months. Change in her voice for 1 year and Excessive hair growth on her face, chest, and limbs for the last 2 months. She complained of vague abdominal discomfort. No history of anorexia, weight loss, increased libido. Her medical and family history was unremarkable. On examination - Hirsutism and clitoromegaly. Lump of size 10x8 cm palpable in left iliac fossa. Vaginal examination revealed a firm and mobile cystic mass in the right adnexa. An ultrasound examination of the pelvis showed a 17x 13x 9-cm heterogeneous solid cystic mass replacing the left ovary. The right ovary and the uterus were normal. CECT Scan Abdomen-Large heterogenous encapsulated solid soft tissue mass lesions containing areas of calcification arising from left ovary of size 17x13x10.6cm causing displacement of urinary bladder and surrounding bowel loops. Serum testosterone level -2 ng/mL (normal, 0.2–1.2 ng/mL); (DHEAS), CA 125, and alpha fetoprotein (AFP) -normal. On Laparotmy-Large mass of size 17 X 13 cm arising from left adnexa. Uterus and right ovary grossly normal. Total Abdominal hysterectomy, B/L Salpingo-opherectomy and infracolic omentectomy was done. Peritoneal washing were sent for cytologic examination for malignant cells. No liver metastasis. The post operative period was uneventful. Histopathology revealed- confirmed it be Sertoli Leydig cell tumor. 3month follow up – resolution of her virilization symptoms. No increase of her hirsutism. Repeat testosterone levels - within normal range. Conclusion: Only few cases of SLCT have been reported till date Prognosis depends on extent of disease, stage of disease, tumour differentiation, grade. The treatment should be individualized according to the location, state of spread and the patient’s condition.


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