Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review

Objectives: Synchronous endometrial and ovarian cancer (SEOC) is a rare female reproductive malignancy comprising ovarian and endometrial cancer. Precise diagnosis is crucial for treatment and prognostication, as overall outcome and treatment is differ from those of metastatic endometrial cancer (EC...

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Main Authors: Lin, Shahzarul Fazril, Yahaya, Zainab, Ramli, Nuraini, Abdul Hamid, Habibah
Format: Article
Published: IMR Press 2021
Online Access:http://psasir.upm.edu.my/id/eprint/95242/
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author Lin, Shahzarul Fazril
Yahaya, Zainab
Ramli, Nuraini
Abdul Hamid, Habibah
author_facet Lin, Shahzarul Fazril
Yahaya, Zainab
Ramli, Nuraini
Abdul Hamid, Habibah
author_sort Lin, Shahzarul Fazril
building UPM Institutional Repository
collection Online Access
description Objectives: Synchronous endometrial and ovarian cancer (SEOC) is a rare female reproductive malignancy comprising ovarian and endometrial cancer. Precise diagnosis is crucial for treatment and prognostication, as overall outcome and treatment is differ from those of metastatic endometrial cancer (EC) or ovarian cancer (OC). In this review based on 4 case series of SEOC, we aim to discuss the clinical characteristic, accurate diagnosis using advance molecular analysis techniques and immunohistochemistry (IHC) tests and treatment modalities of SEOC. Method: Case series and literature review. Results: In our report, SEOCs are more prevalent in young premenopausal women with obesity, nulliparous and hereditary predisposition as risk factors. Abnormal menses, abdominal distention and abdominal pain were the common presenting symptoms. It made all diagnosis for SEOCs histologically based on established criteria. Surgery remains the main treatment modality with the goal for treatment and achieving diagnosis. All of our patients had an endometroid type histology with early stage and low grade histology for both endometrial carcinoma (EC) and ovarian carcinoma (OC) except two patients had concomitant seromucinous ovarian carcinoma (OC). We perform a review of the literature highlighting the characteristic and management of SEOC, particularly emphasizing the importance of IHC test on the histological confirmatory diagnosis and molecular studies. Conclusion: It is very essential to gain an accurate diagnosis, treat and prognosticate this disease as overall outcome and treatment is different compared to metastatic EC or OC.
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spelling upm-952422023-04-11T08:17:06Z http://psasir.upm.edu.my/id/eprint/95242/ Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review Lin, Shahzarul Fazril Yahaya, Zainab Ramli, Nuraini Abdul Hamid, Habibah Objectives: Synchronous endometrial and ovarian cancer (SEOC) is a rare female reproductive malignancy comprising ovarian and endometrial cancer. Precise diagnosis is crucial for treatment and prognostication, as overall outcome and treatment is differ from those of metastatic endometrial cancer (EC) or ovarian cancer (OC). In this review based on 4 case series of SEOC, we aim to discuss the clinical characteristic, accurate diagnosis using advance molecular analysis techniques and immunohistochemistry (IHC) tests and treatment modalities of SEOC. Method: Case series and literature review. Results: In our report, SEOCs are more prevalent in young premenopausal women with obesity, nulliparous and hereditary predisposition as risk factors. Abnormal menses, abdominal distention and abdominal pain were the common presenting symptoms. It made all diagnosis for SEOCs histologically based on established criteria. Surgery remains the main treatment modality with the goal for treatment and achieving diagnosis. All of our patients had an endometroid type histology with early stage and low grade histology for both endometrial carcinoma (EC) and ovarian carcinoma (OC) except two patients had concomitant seromucinous ovarian carcinoma (OC). We perform a review of the literature highlighting the characteristic and management of SEOC, particularly emphasizing the importance of IHC test on the histological confirmatory diagnosis and molecular studies. Conclusion: It is very essential to gain an accurate diagnosis, treat and prognosticate this disease as overall outcome and treatment is different compared to metastatic EC or OC. IMR Press 2021-06-15 Article PeerReviewed Lin, Shahzarul Fazril and Yahaya, Zainab and Ramli, Nuraini and Abdul Hamid, Habibah (2021) Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review. European Journal of Gynaecological Oncology, 42 (3). 434 - 440. ISSN 0392-2936; ESSN: 2709-0086 https://www.ejgo.net/articles/10.31083/j.ejgo.2021.03.2308 10.31083/j.ejgo.2021.03.2308
spellingShingle Lin, Shahzarul Fazril
Yahaya, Zainab
Ramli, Nuraini
Abdul Hamid, Habibah
Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title_full Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title_fullStr Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title_full_unstemmed Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title_short Synchronous endometrial and ovarian carcinoma (SEOC); case series and literature review
title_sort synchronous endometrial and ovarian carcinoma (seoc); case series and literature review
url http://psasir.upm.edu.my/id/eprint/95242/
http://psasir.upm.edu.my/id/eprint/95242/
http://psasir.upm.edu.my/id/eprint/95242/