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Pure Primary Ovarian Squamous Cell Carcinoma Perforating the Rectum
Kazuya Mimura1, Aiko Okada1, Naotsugu Haraguchi2
1Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Case Reports in Obstetrics and Gynecology
|March 21, 2017
Summary
Rectal perforation is a rare complication of ovarian cancer. This case highlights a unique instance of primary ovarian squamous cell carcinoma causing rectal perforation, emphasizing the need for thorough evaluation.
Area of Science:
- Gynecologic Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Rectal perforation is an infrequent complication in ovarian cancer, even in advanced stages.
- Pure primary ovarian squamous cell carcinoma is an exceptionally rare subtype of ovarian cancer.
Observation:
- A 50-year-old woman presented with rectal bleeding, a symptom attributed to a pelvic tumor perforating into the rectum.
- Imaging revealed a significant pelvic mass, prompting surgical intervention.
Findings:
- Histopathology confirmed squamous cell carcinoma of the left ovary penetrating the rectal wall.
- The tumor measured 9 cm and necessitated en-bloc resection of the tumor and rectosigmoid colon.
Implications:
- This case underscores that rectal bleeding can be a symptom of rare ovarian cancer presentations, specifically rectal wall penetration.
- Accurate diagnosis through comprehensive evaluation is crucial for effective treatment of such rare gynecologic malignancies.
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