Case ReportsUterine and Ovarian Conservation in Advanced Small Cell Carcinoma of the Ovary
Section snippets
Case
The patient was a 21-year-old white female, gravida 0, para 0, who presented with right lower quadrant abdominal pain of 2 weeks’ duration. A sonogram revealed a 12-cm solid right ovarian neoplasm. On March 23, 1995, she underwent a right oophorectomy at Onslow County Hospital for a 12.0 cm × 12.5 cm × 6.5 cm solid right ovarian neoplasm that was classified as malignant. The mass was ruptured in the process of removal through a Pfannenstiel incision. Tumor markers drawn 4 days postoperatively
Comment
The decision to recommend removal or conservation of a normal ovary and uterus in a young woman with advanced ovarian cancer is controversial and presents a difficult choice for the thoughtful gynecologic surgeon. The golden rule of pelvic surgery is the conservation of useful organ function provided it does not compromise the patient’s survival. Historically, this approach was considered only in young women with stage I invasive epithelial, borderline, and stromal- and germ-cell tumors with
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Advanced-stage small cell carcinoma of the ovary in pregnancyLong-term survival after surgical debulking and multi-agent chemotherapy
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Cited by (33)
Rare case of remission of a patient with small cell carcinoma of the ovary, hypercalcaemic type (SCCOHT) stage IV: Case report
2020, International Journal of Surgery Case ReportsCitation Excerpt :The aggressiveness of the treatment depends on the stage of the disease, the age of the patient and her fertility-sparing desire. However, there is no consensus about the surgical management of a tumour confined to one ovary (FIGO stage 1), especially if a radical surgery is needed [2,17,18]. We describe the case of a 22-year-old patient in full remission 30 months after diagnosis, suffering from a stage IV SCCOHT treated with conservative surgery and high-doses of chemotherapy.
Small cell carcinoma of the ovary
2014, Cancer/RadiotherapieSuccessful reproductive outcome following treatment of advanced small cell carcinoma of the ovary
2012, Gynecologic Oncology ReportsOvarian Tumors
2012, Pediatric Surgery, 2-Volume Set: Expert Consult - Online and PrintOvarian Tumors
2012, Pediatric SurgeryNeuroendocrine tumors of the gynecologic tract: A Society of Gynecologic Oncology (SGO) clinical document
2011, Gynecologic OncologyCitation Excerpt :In the case of ovarian carcinoid tumors, fertility sparing surgery is permissible as these tumors are generally unilateral and associated with a good prognosis. The surgical approach can include everything from fertility sparing surgery to radical debulking dependent on patient age and disease distribution [89–94]. The most common sites of metastatic disease include regional lymph nodes, liver, bones and lung.