Charatsi D I, Kotsopoulos I C, Xirou P, Valeri R M, Kaplanis K
Gynecologic Oncology Department, "Theagenio" Cancer Hospital, Thessaloniki, Greece ; Obstetrics & Gynecology Department, "Elena Venizelou" General Maternity Hospital, Athens, Greece.
Gynecologic Oncology Department, "Theagenio" Cancer Hospital, Thessaloniki, Greece ; Obstetrics & Gynecology Department, Medical School, University of Patras, Rio, Greece.
Hippokratia. 2015 Jan-Mar;19(1):88-91.
Serous adenocarcinoma is the most common subtype of ovarian carcinoma, while ovarian echinococcosis is a rare disease of the female genital system. The simultaneous presence of adenocarcinoma and echinococcosis in the same ovary is extremely rare and little data exist regarding diagnosis and treatment approach.
In the present paper, we report a rare case of a 66-year-old Greek Caucasian woman of rural origin, with an adnexal mass, ascitic and pleural fluid. The patient underwent exploratory laparotomy following neoadjuvant chemotherapy, based on positive for malignancy pleural and ascitic fluid cytology results.
Histological examination of the surgical specimen indicated the synchronous presence of echinococcosis and adenocarcinoma in the same ovary.
Ovarian hydatid cyst is extremely rare, but should be suspected in patients with echinococcosis in other organs and those coming from endemic areas. Moreover, the disease could mimic ovarian cancer, as there are no specific symptoms and clinical signs. The coexistence of these two diseases in the same ovary, although rare, is possible. It seems that the presence of the hydatid cyst does not change the treatment approach of the malignancy so that surgery with neoadjuvant or adjuvant chemotherapy, according to the present guidelines, should be administered. Hippokratia 2015, 19 (1): 89-91.
浆液性腺癌是卵巢癌最常见的亚型，而卵巢棘球蚴病是女性生殖系统的一种罕见疾病。同一卵巢中同时存在腺癌和棘球蚴病极为罕见，关于诊断和治疗方法的数据很少。
在本文中，我们报告了一例罕见病例，一名66岁的希腊白人农村妇女，有附件包块、腹水和胸水。基于恶性胸水和腹水细胞学检查结果呈阳性，患者在新辅助化疗后接受了剖腹探查术。
手术标本的组织学检查表明同一卵巢中同时存在棘球蚴病和腺癌。
卵巢包虫囊肿极为罕见，但对于其他器官患有棘球蚴病的患者以及来自流行地区的患者应怀疑此病。此外，由于没有特异性症状和体征，该疾病可能会被误诊为卵巢癌。这两种疾病在同一卵巢中共存虽然罕见，但却是可能的。似乎包虫囊肿的存在并不改变恶性肿瘤的治疗方法，因此应根据当前指南进行新辅助或辅助化疗的手术治疗。《希波克拉底》2015年，第19卷第1期：89 - 91页。
