RESUMEN
Abstract Introduction Malignant mesonephric tumors are uncommon in the female genital tract, and they are usually located where embryonic remnants of Wolffian ducts are detected, such as the uterine cervix. The information about these tumors, their treatment protocol, and prognosis are scarce. Case report A 60-year-old woman with postmenopausal vaginal bleeding was initially diagnosed with endometrial carcinoma. After suspicion co-testing, the patient underwent a loop electrosurgical excision of the cervix and was eventually diagnosed with mesonephric adenocarcinoma. She was subjected to a radical hysterectomy, which revealed International Federation of Gynecology and Obstetrics (FIGO) IB1 stage, and adjuvant radiotherapy. The follow-up showed no evidence of recurrence after 60 months. Conclusion We present the case of a woman with cervical mesonephric adenocarcinoma. When compared with the literature, this case had the longest clinical follow-up without evidence of recurrence, which reinforces the concept that these tumors are associated with a favorable prognosis if managed according to the guidelines defined for the treatment of patients with cervical adenocarcinomas. Though a rare entity, it should be kept in mind as a differential diagnosis for other cervical cancers.
Asunto(s)
Humanos , Femenino , Neoplasias del Cuello Uterino/diagnóstico , Mesonefroma/diagnóstico , Neoplasias del Cuello Uterino/cirugía , Neoplasias del Cuello Uterino/embriología , Neoplasias del Cuello Uterino/patología , Radioterapia Adyuvante , Diagnóstico Diferencial , Histerectomía , Mesonefroma/cirugía , Mesonefroma/embriología , Mesonefroma/patología , Persona de Mediana Edad , Invasividad NeoplásicaRESUMEN
INTRODUCTION: Malignant mesonephric tumors are uncommon in the female genital tract, and they are usually located where embryonic remnants of Wolffian ducts are detected, such as the uterine cervix. The information about these tumors, their treatment protocol, and prognosis are scarce. CASE REPORT: A 60-year-old woman with postmenopausal vaginal bleeding was initially diagnosed with endometrial carcinoma. After suspicion co-testing, the patient underwent a loop electrosurgical excision of the cervix and was eventually diagnosed with mesonephric adenocarcinoma. She was subjected to a radical hysterectomy, which revealed International Federation of Gynecology and Obstetrics (FIGO) IB1 stage, and adjuvant radiotherapy. The follow-up showed no evidence of recurrence after 60 months. CONCLUSION: We present the case of a woman with cervical mesonephric adenocarcinoma. When compared with the literature, this case had the longest clinical follow-up without evidence of recurrence, which reinforces the concept that these tumors are associated with a favorable prognosis if managed according to the guidelines defined for the treatment of patients with cervical adenocarcinomas. Though a rare entity, it should be kept in mind as a differential diagnosis for other cervical cancers.
Asunto(s)
Mesonefroma/diagnóstico , Neoplasias del Cuello Uterino/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Histerectomía , Mesonefroma/embriología , Mesonefroma/patología , Mesonefroma/cirugía , Persona de Mediana Edad , Invasividad Neoplásica , Radioterapia Adyuvante , Neoplasias del Cuello Uterino/embriología , Neoplasias del Cuello Uterino/patología , Neoplasias del Cuello Uterino/cirugíaAsunto(s)
Aminoquinolinas/administración & dosificación , Antineoplásicos/administración & dosificación , Displasia del Cuello del Útero/tratamiento farmacológico , Neoplasias del Cuello Uterino/tratamiento farmacológico , Adulto , Femenino , Humanos , Imiquimod , Persona de Mediana Edad , Resultado del Tratamiento , Vagina/patologíaRESUMEN
Post partum hemorrhage is a major cause of maternal morbidity and mortality. We describe a case of a woman with post partum hemorrhage due to uterine atony, successfully treated with B-Lynch suture. The authors review the causes and risk factors, and the range of medical and surgical options that may be considered for the management of post partum hemorrhage.