Authors present the follow-up history of a patient, first treated for a pelvic tumor. Clinically and on ultrasound examination, the pelvic tumour corresponded to an ovarian lesion for which hysterectomy and adnexec-tomy was planned. During the operation, the tumour proved to be of intestinal origin, therefore, an abdominal surgeon was called to the operating theater. First histological result: epitheloid leimyoma (leiomyoblas-toma without malignancy). Nine years later, the patient returned with a large, cystic mass in the pelvis. The findings strongly suggested a malignant ovarial tumour. The exploration was performed in the presence of an experienced surgeon. A large intestinal tumour and multiple peritoneal metastases were found. The intestinal tumour and a few metastatic nodules were removed. The authors suggest that an abdominal surgeon/and or urologic sergeon may be present in the team when a pelvic tumour of uncertain origin is being treated. The interpretation of the histological findings or description of new entities may necessitate re-evaluation of the original diagnosis.
|Translated title of the contribution||Pelvic tumour: Ovarial or intestinal?|
|Number of pages||3|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Dec 1 2003|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology