The first case report of a solitary metastasis of the transitional cell carcinoma of the ovary to the spleen

Ranko Lazović; Batrić Vukčević; Petar Milić; Jelena Lazović

doi:10.2298/VSP200930043L

Ranko Lazović Clinical Center of Montenegro, Center for Digestive Surgery, Podgorica, Montenegro
Batrić Vukčević Clinical Center of Montenegro, Center for Digestive Surgery, Podgorica, Montenegro
Petar Milić General Hospital Kotor, General Surgery Department, Kotor, Montenegro
Jelena Lazović Clinical Center of Montenegro, Department of Neurology, Podgorica, Montenegro

DOI: https://doi.org/10.2298/VSP200930043L

Ključne reči: karcinom prelaznih ćelija, dijagnoza, histološke tehnike, neoplazme, metastaze, jajnik, neoplazme, slezina

Sažetak

Uvod. Primarni karcinom prelaznih ćelija (KPĆ) jajnika karakteriše prisustvo papilarnih projekcija malignih ćelija prelaznog epitela ili njihovih agregata u fibroznoj stromi. Ovaj tip tumora obuhvata oko 1% svih karcinoma površinskog epitela jajnika. Prikazali smo prvi slučaj solitarne metastaze primarnog ovarijalnog KPĆ u slezinu. Prikaz bolesnika. Bolesnica stara 60 godina primljena je u decembru 2018. godine, zbog asimptomatskog tumora slezine. Dve godine ranije joj je zbog primarnog KPĆ jajnika urađena totalna abdominalna histerektomija, bilateralna adneksektomija i infrakolična omentektomija. Kontrolna ultrasonografija abdomena, kompjuterizovana tomografija i magnetna rezonanca, sprovedene dve godine nakon operacije, pokazale su tumor slezine. Urađena je otvorena splenektomija, a intraoperativni nalaz je pokazao tumor hilusa slezine, bez drugih patoloških lezija u abdomenu. Patohistološka analiza je pokazala metastazu KPĆ, što je potvrđeno naknadnom definitivnom patohistološkom analizom. U toku jednogodišnjeg praćenja nije bilo relapsa bolesti. Zaključak. Prema literaturnim podacima ovo je prvi prikazani slučaj solitarne metastaze primarnog KPĆ jajnika u slezinu, koji može predstavljati primer dijagnostičke i terapijske uloge splenektomije kod izolovanih metastaza karcinoma jajnika u slezinu.

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Prvi slučaj izolovane metastaze primarnog karcinoma prelaznih ćelija jajnika u slezinu

Sažetak

Reference