Bilateral ovarian angiosarcoma arising from the mature cystic teratomas – A case report and review of the literature
| Autor: | Marcela Nachajova, Jan Danko, Pavol Slavik, Lukáš Plank, Kamil Biringer, Erik Kudela |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
CD31 Pathology medicine.medical_specialty endocrine system endocrine system diseases Exploratory laparotomy medicine.medical_treatment Article 03 medical and health sciences 0302 clinical medicine Angiosarcoma Medicine Ovarian Teratoma neoplasms Hysterectomy business.industry Ovary Ovarian Angiosarcoma Teratoma medicine.disease Immunohistochemistry digestive system diseases female genital diseases and pregnancy complications Omentectomy 030104 developmental biology 030220 oncology & carcinogenesis Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • We present the first case of bilateral ovarian angiosarcoma arising from the mature teratomas. • Due to widespread disease, we performed limited surgical procedure consisting of bilateral adnexectomy and omentectomy. • This work summarizes the current knowledge in the diagnosis and treatment of angiosarcomas arising in the mature teratomas. • Promising results are expected from the trials devoted to antiangiogenic strategies in treatment of aggressive sarcomas. Introduction Ovarian teratomas undergo the malignant transformation in 0.2–2% of cases. The behavior of malignancies in mature cystic teratomas (MCT) is determined by their phenotype and not their derivation from germ cells. We can recognize pure angiosarcomas or as a part of other tumors like malignant mixed Mullerian tumors and adenosarcomas. Presentation of case We present the first case of bilateral ovarian angiosarcoma arising from the mature teratomas. Due to widespread disease, we performed limited surgical procedure consisting of bilateral adnexectomy and omentectomy. Exploratory laparotomy in 44-year old patient showed massive ascites, necrotic tissue of omentum and bilateral tumors originating from both ovaries measuring 8 and 6 cm with necrotic surface. Immunohistochemistry of the tumors showed positive staining for CD31, vimentin, desmin and focal positivity for CD34. Discussion Sarcomas of gynecologic origin are extremely rare tumors. They present with unspecified symptoms and are diagnosed in late stages of the disease. The appropriate management of angiosarcomas is difficult due to the rarity of disease and late stage of the diseases. Surgical therapy should contain the hysterectomy with bilateral salpingo-oophorectomy and omentectomy. Pelvic lymphadenectomy was not performed in published cases with no effect on patient survival. Conclusion This work summarizes the current knowledge in the diagnosis and treatment of angiosarcomas arising in the mature teratomas. Promising results are expected from the trials devoted to antiangiogenic strategies in treatment of aggressive sarcomas. |
| Databáze: | OpenAIRE |
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