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European Journal of Gynaecological Oncology  2020, Vol. 41 Issue (4): 654-656    DOI: 10.31083/j.ejgo.2020.04.5021
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Incidental small ovarian surface serous carcinoma with Miliary abdominal seeding during robotically-assisted total hysterectomy
Cheng-Wei Wang1, Ching-Hui Chen1, 3, Wei-Min Liu2, 3, *()
1Division of Infertility, Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan
2Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan
3Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
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Abstract  
Objective: To report a case in which an incidental finding of an extremely small ovarian surface tumor with abdominal miliary seeding was managed using robotic staging surgery. Case Report: A 53-year-old women, gravida 0 para 0, who was experiencing dysmenorrhea and adenomyosis, was admitted initially for robotically-assisted total hysterectomy. Intraoperatively, an incidental discovery of a 0.5-cm right ovarian surface tumor with pelvic wall miliary tumors was noted. An intraoperative frozen-section diagnosis revealed carcinoma both for the ovarian tumor and pelvic sidewall tumors. A final pathological report revealed serous carcinoma, Stage IIIA2. Conclusion: A preoperatively undetectable small ovarian tumor (0.5 cm) could behave malignantly with metastasis that is already widespread. The authors have reported this case to identify the imperative need for early detection of ovarian cancer.
Key words:  Small ovarian surface tumor      Abdominal miliary seeding      Robotic staging surgery     
Submitted:  12 October 2018      Accepted:  11 December 2018      Published:  15 August 2020     
*Corresponding Author(s):  WEI-MIN LIU     E-mail:  weimin@tmu.edu.tw

Cite this article: 

Cheng-Wei Wang, Ching-Hui Chen, Wei-Min Liu. Incidental small ovarian surface serous carcinoma with Miliary abdominal seeding during robotically-assisted total hysterectomy. European Journal of Gynaecological Oncology, 2020, 41(4): 654-656.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2020.04.5021     OR     https://ejgo.imrpress.com/EN/Y2020/V41/I4/654

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