Young patients with endometrial carcinoma selected for conservative treatment: a need for vigilance for synchronous ovarian carcinomas, case report and literature review.
BACKGROUND
The aim of this paper is to report a case of synchronous ovarian malignancy in a very young patient with early endometrial cancer who desired fertility-sparing management.


METHODS
Twenty one-year-old patient presented with an apparent early stage endometrial cancer and desiring conservative management. After failure of conservative management for 3 years, surgery was performed. An incidentally small papillary serous ovarian tumor of low malignant potential was found.


CONCLUSIONS
Careful preoperative and intraoperative assessment of the adnexa is mandatory in young women with endometrial cancer. Those who desire ovarian preservation should be counseled regarding the high potential for coexisting ovarian malignancy.
Shamshirsaz
Alireza A
AA
Department of Gynecology and Obstetrics, University of Buffalo State University of New York, 219 Bryant Street, Buffalo, NY 14222, USA.
Withiam-Leitch
Matthew
M
Odunsi
Kunle
K
Baker
Trudy
T
Frederick
Peter J
PJ
Lele
Shashikant
S
D000328:Adult; D018284:Cystadenocarcinoma, Serous / Q000175:diagnosis*; D016889:Endometrial Neoplasms / Q000188:drug therapy* / Q000601:surgery*; D005260:Female; D006801:Humans; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D010051:Ovarian Neoplasms / Q000175:diagnosis*