NON-GYNECOLOGICAL TUMORS THAT PRESENT AS OVARİAN TUMOR

Öz

AİM: We searched for the clinical characteristics, preoperative diagnosis and postoperative processes of the cases diagnosed as non-gynecologic tumors with preoperative diagnosis of ovarian tumors  in the last 5 years.

MATERİAL AND METHOD: The data of 12 patients with  non-gynecologic tumors who were operated with the preoperative diagnosis of ovarian tumor  in Uludag University between the years 2012-2016, were obtained from our hospital database. Preoperative anamnesis, clinical findings, laboratory results, surgical notes, postoperative surveillance data were searched and analyzed.

: 6 of 12 cases had metastatic ovarian cancer (3 gastric cancer, 2 breast cancer, 1 colon cancer), 5 had granulomatous inflammation (4 tuberculosis, 1 sarcoidosis) and 1 had diffuse large B cell lymphoma. There was a history of cancer in 5 patients with  metastatic ovarian tumors (MOT). None of our patients had granulomatous inflammation.

Anahtar Kelimeler

• Over cancer,Metastatic cancer,Non-gynaecologic tumor

OVER TÜMÖRÜ GİBİ PREZENTE OLAN NON JİNEKOLOJİK TÜMÖRLER

Öz

Gereç ve Yöntem:  Uludağ Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum  Anabilimdalı’nda 2012-2016 yılları arasında preoperatif over tümörü öntanısı ile opere edilen ‘’jinekolojik olmayan tümör’’ tanısı alan 12 hastaya ait bilgiler  hastane veri tabanından elde edildi. Preoperatif anamnez, klinik bulgular, laboratuvar sonuçları, cerrahi notlar, postoperatif sürveyans verileri araştırıldı ve analiz edildi.12
vakanın 6’sı metastatik over kanseri (3 mide ca, 2 meme ca, 1 kolon ca), 5’inde
granülomatöz iltihap (4 tüberküloz, 1 sarkoidoz) ve 1’ inde diffüz büyük B
hücreli lenfoma idi. Metastatik over tümörlerinin (MOT) 5’ inin özgeçmişinde
kanser hikayesi mevcuttu. Granülomatöz iltihap olan hastalarımızın hiçbirinin
özgeçmişinde özellik yoktu.

Anahtar Kelimeler

• Over kanseri,Metastatik kanser,Nonjinekolojik tümör

Kaynakça

1. 1.Moore RG, Chung M, Granai CO et al.Incidence of metastasis to the ovaries from nongenital tract primary tumors.Gynecol Oncol 2004;93:87-91
2. 2.Ulbright TM, Roth LM, Stehman FB. Secondary ovarian neoplasia: a clinicopathologic study of 35 cases. Cancer 1984;53:1164-74
3. 3.Young RH, Scully RE. Metastatic tumors in the ovary: a problem-oriented approach and review of the recent literature. Semin Diagn Pathol 1991;8:250-776.
4. 4. Ayhan A, Guvenal T, Salman MC et al. The role of cytoreductive surgery in nongenital cancers metastatic to the ovaries.Gynecol Oncol 2005;98:235-41.
5. 5. Antila R, Jalkanen J, Heikinheimo O. Comparison of secondary and primary ovarian malignancies in their pre-and perioperative characteristics. Gynecol Oncol 2006;101:97-101.
6. 6. Petru E, Pickel H, Heydarfadai M et al. Nongenital cancers metastatic to the ovary. Gynecol Oncol 1992;44:83-6.
7. 7. Young RH(2006). From krukenberg to today: the ever present problems posed by metastatic tumors in the ovary:part I. Historical perspective, general principles, mucinous tumors including the krukenberg tumor. Adv Anat Pathol 13(5):205-227.
8. 8. Kjarbye-Thygesen A, Drasbek Husom L, Fredriksen K, Krüger Kjar S. Trends in the incidence and mortality of ovarian cancer in Denmark 1978-2002. Comparison with other Nordic countries.Acta Obstet Gynecol Scand 2005;84:1006-12.

9. 9. Masiello A, Pacifico P, Giglio S, Maio P, Dell’Aquila G, Magliocca M, Acone N(2012). Abdominal tuberculosis in young immigrant patient: a clinical case. Infez Med 20: 120-124.
10. 10. Devi L, Tandon R, Goel P, Huria A, Saha PK(2012). Pelvic tuberculosis mimicking advanced ovarian malignancy. Trop Doct 42: 144-146.
11. 11. Chhabra S, Saharan K, Pohane D(2010). Pelvic tuberculosis continues to be a disease dilemma-case series. Indian J Tuberc 57:90-94.
12. 12.Crasta J,Vallikad E(2009)Ovarian lymphoma.Indian J Med Paediatr Oncol 30:28. Doi:10.4103/0971-5851.56333
13. 13.Piura B,Rabinovich A,Leron E,Yanai-Inbar I,Mazor M(2003)Peritoneal tuberculosis-an uncommon disease that may deceive the gynecologist.Eur J Obstet Gynecol Reprod Biol 110(2):230-234
14. 14.Qi Liu,Qin Zhang,Qun Guan,Lin-feng Xu,Qun-li Shi Abdominopelvic tuberculosis mimicking advanced ovarian cancer and pelvic inflammatory disease:a series of 28 female cases Arch Gynecol Obstet(2014)289:623-629
15. 15.Mustafa Ozat,Sunduz Ozlem Altinkaya,Tayfun Gungor,Mete Çaglar,Sema Zergeroglu,Mujdegul Karaca,Mustafa Besli,Leyla Mollamahmutoglu Extraovarian conditions mimicking ovarian cancer:a single center experience of 15 years Arch Gynecol Obstet(2011)284:713-719
16. 16.S.Koc,G.Beydilli,G.Tulunay et al.,’Peritoneal tuberculosis mimicking advanced ovarian cancer:A retrospective review of 22 cases,’Gynecologic Oncology,vol.103,no.2,pp.565-569,2006.
17. 17.ASevinc,M.Adli,M.E. Kalender,and C.Camci,’Benign causes of increased serum CA-125 concentration,’The Lancet Oncology,vol.8,no.12,pp.1054-1055,2007
18. 18.J.B.Sharma ,K.K.Roy,M.Pushparaj,S.Kumar,N.Malhotra,and S.Mittal,’Laparoscopic finding in female genital tuberculosis,’Archives of Gynecology and Obstetrics,vol.278,no.4,pp.359-364,2008.
19. 19.Poyrazoglu OK,Timurkaan M,Yalniz M,Ataseven H,Dogukan M,Bahcecioglu IH(2008)Clinical review of 23 patients with tuberculous peritonitis:presenting features and diagnosis.J Dig Dis 9:170-17
20. 20.Riquelme A,Calvo M, Salech F,Valderrama S,Pattillo A,Arellano M,Arrese M,Soza A,Viviani P,Letelier LM(2006)Value of adenosine deaminase(ADA)in ascitic fluid fort he diagnosis of tuberculous peritonitis:a meta-analysis.J Clin Gastroenterol 40:705-710
21. 21.Adali E,Dulger C,Kolusari A,Kurdoglu M,Yildizhan R(2009)Pelvic-peritoneal tuberculosis simulating peritoneal carcinamatosis:high clinical suspicion and a minimally invazive procedure Arch Gynecol Obstet 280:867-868
22. 22.Meena Kalluri,Marc A.Judson Sarcoidosis Associated With an Elevated Serum CA 125 Level:Description of a Case and a Review of the Literature Am J Med Sci 2007;334(6):441-443
23. 23.Anna Stepniak,Piotr Czuczwar,Piotr Szkodziak,Ewa Wozniakowska,Slawomir Wozniak,Tomasz Paszkowski Primary ovarian Burkitt’s lymphoma:a rare oncological problem in gynecology:a review of literature Arch Gynecol Obstet(2017)296:653-660
24. 24.Shacham-Abulafia A,Nagar R,Eitan R et al(2013)Burkitt’s lymphoma of the ovary:case report and review of the literature.Acta Haematol 129:169-174.doi:10.1159/000345248