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Journal of Case Reports
Aggressive Variant of Synchronous Carcinoma Cervix and Ovary
Satyajeet Rath1, Rahat Hadi1, Ashish Singhal2, Mohammad Ali1
Departments of 1Radiation Oncology and 2Surgical Oncology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow-226010, Uttar Pradesh, India.
Corresponding Author:
Dr. Satyajeet Rath
Email: satyajeetrath@gmail.com 
Received: 31-JAN-2017 Accepted: 21-MAR-2017 Published Online: 20-APR-2017
DOI: http://dx.doi.org/10.17659/01.2017.0041
Abstract
Background: Synchronous malignancies of ovary and cervix are rare and generally entail poor prognosis. The optimal management is not well defined and varies from case to case basis. Case Report: We present a case of synchronous malignancy of cervix and bilateral ovary, which initially masqueraded as a case of malignant ascites pointing towards ovarian carcinoma, but after surgical (total abdominal hysterectomy and bilateral salpingo-oophorectomy along with omentectomy) and histopathological evaluation was found to be a case of dual malignancy. Patient also received neoadjuvant and adjuvant paclitaxel and carboplatin, followed by full dose whole pelvis radiotherapy. But, the disease was aggressive in nature and progressed rapidly to involve liver, lung and multiple bony sites, inspite of adequate treatment. Conclusion: The possibility of a synchronous malignancy should also be considered while working on genital malignancy.
Keywords : Carboplatin, Cervix Uteri, Hysterectomy, Ovarian Neoplasms, Pelvis.
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