Primary pure carcinoid tumor of the ovary: Case report

Öz

A pelvic mass is typically evident. A 65-year old woman was admitted to the hospital because of abnormal uterine bleeding. Pelvic magnetic resonance and abdominal ultrasonography disclosed a 40x35x35mm mass of the left ovary.Total hysterectomy + bilateral alpingo-oophorectqmy and appendectomy were performed.Pathologic evaluation revealed that the left ovarian mass was a pure carcinoid tumor. She is alive 3 years after surgery and has had no evidence of tumor recurrence or carcinoid syndrome. This rare case of a ovarian carcinoid tumor is reported and discussed with immunohistochemical findings.

Anahtar Kelimeler

• Case report,Aged,Uterine Hemorrhage,Magnetic Resonance Imaging,Carcinoid Tumor,Immunohistochemistry,Gynecologic Surgical Procedures

Overin primer 'Pure' karsinoid tümörü: Olgu sunumu

Öz

Olgumuz 65 yaşında postmenopozal hasta olup anormal utérin kanama nedeni ile kadın doğum polikliniğine başvurmuştur. Hastanın pelvik manyetik rezonans (MR) tetkikinde 40x35x35 mm ölçülerinde sol adneksiyal kitle saptanarak total abdominal histerektomi + bilateral salpingoooferektomi ve apendektomi yapılmıştır. Histopatolojik incelemede sol overde "pure" karsinoid tümör tespit edilmiştir.Olgumuz çok nadir görülmesi ve karsinoid sendrom bulgularının eşlik etmemesi nedeniyle immunohistokimyasal ve histopatolojik bulgularla sunulmuştur.

Anahtar Kelimeler

• Olgu sunumu,Yaşlı,Uterus kanamaları,Manyetik rezonans görüntüleme,Karsinoid tümör,İmmünohistokimya,Jinekolojik cerrahi prosedürler

Kaynakça

1. 1. Holtz G, Tucker E, Holtz F, Primary pure insular ovarian carcinoids, J Obstet Gynecol 1979; 53(3): 85-87 2. Wilkowske MA, Hartmann LC, Mullany CJ, Behrenbeck T, Kvols LK, Progressive Carcinoid heart disease after resection of primary ovarian carcinoid. Cancer 1994; 73(7): 1889-1891 3. Mendilcioğlu İ, Akıncı Z, Özbilim G, Karaveli S, Erman O, Primary ovarian mixed type carcinoid tumour .J Obstet Gynecol 1999; 19(5): 561-562 4. Tamsen A, Mazur MT, Ovarian strumal carcinoid in association with, multiple endocrine neoplasia , type IIA Arch Pathol Lab Med 1992; 116: 200-203 5. Ulbright TM, Roth LM, Ehrlich CE, Ovarian strumal carcinoid. Am J Clin Pathol 1981; 77: 622-631 6. Ranchod M, Kempson RL, Dorgeloh JR, Strumal carcinoid of the ovary. Cancer 1976; 37:1913-1922 7. Hart WR, Regezi JA, Strumal carcinoid of the ovary. Am J Clin Pathol 1978; 69: 356-359 8. Young RH, Clement PB,Scully RE, The Ovary. In: Sternberg SS. Diagnostic surgical pathology. Lippincott Williams& Wilkins 3rd ed, Philadelphia, 1999: 2307-2394.