Adenocarcinoma of Mullerian Origin Found Through an Elective Inguinal Hernia Resection: A Case Report.

Autor:	Bermudez M; Internal Medicine, St. Barnabas Hospital (SBH) Health System, Bronx, USA., Tole M; Internal Medicine, St. Barnabas Hospital (SBH) Health System, Bronx, USA., Hernandez TE; Internal Medicine, St. Barnabas Hospital (SBH) Health System, Bronx, USA., Agrawal A; Internal Medicine, St. Barnabas Hospital (SBH) Health System, Bronx, USA., Vigoda I; Oncology, St. Barnabas Hospital (SBH) Health System, Bronx, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 08; Vol. 16 (5), pp. e59929. Date of Electronic Publication: 2024 May 08 (Print Publication: 2024).
DOI:	10.7759/cureus.59929
Abstrakt:	We report an asymptomatic 59-year-old female undergoing an elective umbilical hernia excision who was found to have an ovarian adenocarcinoma within the excised hernia. Patients are rarely diagnosed with cancer after an umbilical hernia excision. An excised hernia is rarely the means for an initial diagnosis of cancer. We describe a case of an ovarian carcinoma incidentally found through an umbilical hernia excision with consequential treatment with neoadjuvant platinum-based chemotherapy followed by debulking surgery with a total hysterectomy with bilateral salpingo-oophorectomy with a transoperative pathology report of a high-grade serous carcinoma located in the left fimbrial frond surrounded by a background of serous tubal intraepithelial carcinomas. This case demonstrates the need to perform histological examinations of all excised hernias, even in asymptomatic patients, as malignancy can be found inside a hernia, and it emphasizes the importance of considering adenocarcinomas of Mullerian origin in the differential diagnosis of a malignancy found in a hernia in an asymptomatic female patient. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Bermudez et al.)
Databáze:	MEDLINE
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