Dual Primary Endometrial and Ovarian Tumors - A Case Report

Patient R. A. was treated gynecologically for postmenopausal vaginal bleeding.Diagnostic screening: MRI findings and ultrasound findings describe, in addition to the previously known myomatous uterus, some free fluid, small cystic changes in the ovaries and thickened endometrium.For further diagnostic and therapeutic treatment, instrumental revision of the uterine cavum is indicated.The pathohistological finding of the curettings tissue of cavum of the uterus describes poorly differentiated adenocarcinoma, G2/G3, and the patient is being prepared for operative treatment.During the operation, an adnexectomy was performed on the left, as well as biopsy of the peritoneum.Pathohistological analysis describes serous high -grade adenocarcinoma (G3) of ovaries and peritoneum biopsies. The further course of treatment of the patient's disease takes place under the supervision of an oncologist. Synchronous (dual) primary tumors of the genital organs, although rare, are most often of the endometrial type and occur most often on the endometrium of the uterus and on the ovaries, the isolation of both entities or the metastatic etiology of one or the other has not yet been elucidated in detail.