Anthony Dakwar, MD, James Satterfield, MD. NewYork Presbyterian-Queens
Initial presentation or recurrence of gynecological malignancies as a soft tissue mass is extremely uncommon and there is limited literature describing the current data. This case presents a 74 year old black female, with surgical history of total hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer. Per FIGO cancer staging system, her cancer was classified at stage II, high-grade serous cell endometrioid carcinoma. Three years later, she presents with a slow growing five centimeter mass located on her left anterior abdomen. Given the history of malignancy, the patient underwent computed tomography of the abdomen and pelvis which did not report any obvious malignancies or lymphadenopathy. Afterwards, the mass underwent fine needle aspiration biopsy and showed an epithelial neoplasm with papillary features, likely of Mullerian origin. An excisional biopsy was performed with final pathology reporting a 5.4 x 4.4 x 4.0 centimeter mass, high-grade endometrioid adenocarcinoma with papillary architecture. The mass was confirmed to be a primary Mullerian neoplasm, positive for CK7, PAX8, and ER tumor markers. The patient was referred to be evaluated by oncology for further work up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 78905
Program Number: P136
Presentation Session: Poster (Non CME)
Presentation Type: Poster