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Locally advanced ovarian carcinoid.

B Kopf1, G Rosti, G Lanzanova

  • 1Dept. of Oncology/Hematology, Istituto Oncologico Romagnolo, Ravenna, Italy. barbakopf1@hotmail.com

Journal of Experimental & Clinical Cancer Research : CR
|August 23, 2005
PubMed
Summary

Primary ovarian carcinoid tumors are rare. Aggressive cytoreductive surgery can be curative in advanced cases, even in older patients, as demonstrated by a 10-year recurrence-free survival.

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Area of Science:

  • Gynecologic Oncology
  • Surgical Oncology
  • Pathology

Background:

  • Primary carcinoid tumors of the ovary are exceptionally rare, comprising less than 0.1% of all ovarian neoplasms.
  • These tumors can present insidiously or with acute abdominal symptoms, posing diagnostic and therapeutic challenges.

Observation:

  • A case of a 79-year-old woman with locally advanced primary ovarian carcinoid presenting as acute abdomen is described.
  • Laparotomy revealed a large pelvic mass (18 cm) originating from the left ovary, infiltrating the fallopian tube and compressing adjacent bowel structures.

Findings:

  • Complete tumor removal was achieved through bilateral salpingo-oophorectomy.
  • No adjuvant treatments were administered due to a lack of supporting literature.
  • The patient remained disease-free for 10 years post-surgery.

Implications:

  • Aggressive cytoreductive surgery is the optimal treatment for advanced or locally advanced primary ovarian carcinoid.
  • Advanced age should not preclude aggressive surgical intervention when it offers the best chance for cure.
  • This case highlights the potential for long-term survival following radical surgery for rare ovarian neoplasms.

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