Cistoadenocarcinoma Epitelial Mixto

Abstract

The mixed epithelial cystoadenocarcinoma is a type of tumor of the female genital tract, which start no more discomfort to the patient, when extended by the abdominal-pelvic or perhaps cavity distance presents various symptoms such as abdominal bloating, pelvic pain, urinary urgency disorders gastrointestinal and even intestinal obstruction, which as we see we can tilt to multiple diagnostic possibilities such as gastrointestinal diseases or metastatic from other primary tumors such as breast or thyroid, so it is considered difficult to diagnose early the same, and in addition to have a minimal impact on its population. The aim of this case report is to make a timely referral to appropriate specialized therapeutic in patients with mixed epithelial cystadenocarcinoma. This case is a female patient of 68 years without family of important personal medical history and the reason for consultation by entering is the presence of abdominal mass of 1 year of evolution which is located at the level of the left abdomen, which has been gradually increasing in size with the passage of time, accompanied by pain type pesantes 9/10 eva so go and echo which reports retroperitoneal cyst. For these characteristics interconsultation you decide to general surgery, who extend a turn for outpatient assessment. Cystoadenocarcinoma mixed epithelial is a type of disease that can remain in a silent start. In this patient the diagnosis was made when entering emergency with the presence of large mass at the abdomen + abdominal pain of great intensity, which is referred to outpatient general surgery, performed abdominal CT where large intra-abdominal mass is evidence which commits the left abdomen appears to liquid content, elevated tumor markers (index 35.5% Roma, HE4 114.5), liquid cytology negative tumor, so along with gynecology dg ovarian mass with suspected malignancy, and decide intervention surgical resection of giant cystic for obtaining cystic tumor mass dependent left ovary 22.8 wide by 33 cm long with a weight of 7.8 kg, smooth covered with small septa, does not invade other organs, but moves medial entire small and large intestine, and right ovary atrophic with multiple cysts of 1 cm in diameter apparently in number 3, is sent for histopathological reporting of cystoadenocarcinoma mucinous endocervical and intestinal type, mixed epithelial mullerian type, so transfer oncology unit for further treatment is decided.