title: Young patients with endometrial carcinoma selected for conservative treatment: a need for vigilance for synchronous ovarian carcinomas, case report and literature review.
abstract: 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.
authors.affiliation: Department of Gynecology and Obstetrics, University of Buffalo State University of New York, 219 Bryant Street, Buffalo, NY 14222, USA.
authors.forename: Alireza A
authors.initials: AA
authors.lastname: Shamshirsaz
authors.forename: Matthew
authors.initials: M
authors.lastname: Withiam-Leitch
authors.forename: Kunle
authors.initials: K
authors.lastname: Odunsi
authors.forename: Trudy
authors.initials: T
authors.lastname: Baker
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Frederick
authors.forename: Shashikant
authors.initials: S
authors.lastname: Lele
mesh_terms: 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*