A case report of rare synchronous primary cancer in genital tract of middle aged female: Synchronous primary endometrial adenocarcinoma and serous papillary cystadenocarcinoma of ovary.

Abstract

Synchronous cancers are defined as two or more histologically distinct malignancies arising in the same site, following each other in a sequence of < 2 months. Synchronous primary cancers are rare in general population and account for only 0.5-1.7% of gynaecological malignancies.^1,2 It is important to distinguish synchronous primary tumors from metastatic malignancies.³ Case Report:  We report a case of 55 years old female with history of pain in abdomen for the last one year. Surgical intervention was planned after complete work up. Hysterectomy with bilateral salpingo-oophorectomy and omentectomy was done. Histopathological examination reported the presence of synchronous endometrial adenocarcinoma well differentiated and malignant ovarian tumor low grade serous papillary cystadenocarcinoma. Conclusion: Though a rare presentation synchronous primary endometrial and ovarian cancers, usually identified at early stage and have a good prognosis.