Total Pelvic Exenteration for Synchronous Cervical and Ovarian Tumor - A Case Report

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Total Pelvic Exenteration for Synchronous Cervical and Ovarian Tumor - A Case Report

N. Suciu, I. Bălescu, N. Bacalbaşa
Clinical case, no. 5, 2015
Endometrial stromal sarcomas are rare gynecologic malignancies characterized by the presence of cells that resemble those of the endometrial stroma during the prolipferative phase of the menstrual cycle. They are classified as low grade or high grade tumors depending on the mitotic index, the second one being usually associated with poor prognosis and high recurrence rate. We present the case of a 46-year-old patient who was previously submitted to surgery for an endometrial stromal sarcoma followed by adjuvant radiotherapy; 18 months later she was diagnosed with a pelvic recurrence invading the urinary bladder trigone and the rectosigmoid so she was submitted to a total pelvic exenteration.