Accidental detection of nonmetastatic ovarian adenocarcinoma in tissue samples recovered during dilatation and curettage

We report two patients with ovarian cancer who were diagnosed with primary endometrial cancer when detached fragments of adenocarcinoma were identified in their dilatation and curettage specimens. Retrospectively, a fragment of fallopian tube and ovarian stroma were identified in the specimens. Thes...

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Bibliographic Details
Published inInternational journal of gynecological pathology Vol. 12; no. 4; p. 355
Main Authors Abdul-Karim, F W, Bennert, K W, Macfee, M
Format Journal Article
LanguageEnglish
Published United States 01.10.1993
Subjects
Adenocarcinoma, Papillary - diagnosis
Adenocarcinoma, Papillary - pathology
Adenocarcinoma, Papillary - surgery
Adipose Tissue - pathology
Aged
Cervix Uteri - pathology
Dilatation and Curettage
Fallopian Tubes - pathology
Female
Humans
Hysterectomy
Ovarian Neoplasms - diagnosis
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Retrospective Studies
Uterine Hemorrhage
Uterus - pathology
Vagina - pathology
Vulva - pathology
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Summary:We report two patients with ovarian cancer who were diagnosed with primary endometrial cancer when detached fragments of adenocarcinoma were identified in their dilatation and curettage specimens. Retrospectively, a fragment of fallopian tube and ovarian stroma were identified in the specimens. These findings served to alert the pathologist to the possibility that extrauterine sampling had occurred as a result of perforation of uterine wall during dilatation and curettage. Previous studies have focused on the cytologic detection of extrauterine cancer or on cases where metastasis to the endometrium has led to a misdiagnosis of primary endometrial cancer.
ISSN:0277-1691
1538-7151
DOI:10.1097/00004347-199310000-00011