Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies

Background. Systemic sclerosis is a rare, chronic, multisystem, and autoimmune disease. There is an overall increased risk of malignancy in patients with systemic sclerosis. However, multiple cancers of the female genital tract in patients with SSc are a very rare event. Our aim is to present a case...

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Main Authors: Georgios Androutsopoulos, Georgios Adonakis, Athanasios Tsamandas, Andreas Andonopoulos, Georgios Decavalas
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2011/392068
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author Georgios Androutsopoulos
Georgios Adonakis
Athanasios Tsamandas
Andreas Andonopoulos
Georgios Decavalas
author_facet Georgios Androutsopoulos
Georgios Adonakis
Athanasios Tsamandas
Andreas Andonopoulos
Georgios Decavalas
author_sort Georgios Androutsopoulos
collection DOAJ
description Background. Systemic sclerosis is a rare, chronic, multisystem, and autoimmune disease. There is an overall increased risk of malignancy in patients with systemic sclerosis. However, multiple cancers of the female genital tract in patients with SSc are a very rare event. Our aim is to present a case of SSc and multiple cancers of the female genital tract, with prolonged survival following current treatment strategies. Case. The patient, a 43-year-old nulliparous premenopausal Greek woman suffering from systemic sclerosis, presented with a history of abdominal pain and abnormal uterine bleeding. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, total omentectomy, appendectomy, and pelvic lymph node dissection. The histopathology revealed synchronous primary cancers of the endometrium and left ovary. The final diagnosis was stage Ib endometrial cancer endometrioid type and stage IIIc ovarian cancer endometrioid type. She underwent postoperative adjuvant chemotherapy and remains well without evidence of disease 89 months after initial surgery. Conclusion. Although our patient was diagnosed at advanced stage disease, prolonged survival may be related with radical surgery and postoperative adjuvant chemotherapy according to current treatment strategies.
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series Case Reports in Rheumatology
spelling doaj-art-885e8ac6849146ec99c4d42757bd5e7a2025-02-03T01:29:55ZengWileyCase Reports in Rheumatology2090-68892090-68972011-01-01201110.1155/2011/392068392068Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment StrategiesGeorgios Androutsopoulos0Georgios Adonakis1Athanasios Tsamandas2Andreas Andonopoulos3Georgios Decavalas4Department of Obstetrics and Gynecology, Medical School, University of Patras, 26500 Rion, GreeceDepartment of Obstetrics and Gynecology, Medical School, University of Patras, 26500 Rion, GreeceDepartment of Pathology, Medical School, University of Patras, 26500 Rion, GreeceDivision of Rheumatology, Department of Internal Medicine, Medical School, University of Patras, 26500 Rion, GreeceDepartment of Obstetrics and Gynecology, Medical School, University of Patras, 26500 Rion, GreeceBackground. Systemic sclerosis is a rare, chronic, multisystem, and autoimmune disease. There is an overall increased risk of malignancy in patients with systemic sclerosis. However, multiple cancers of the female genital tract in patients with SSc are a very rare event. Our aim is to present a case of SSc and multiple cancers of the female genital tract, with prolonged survival following current treatment strategies. Case. The patient, a 43-year-old nulliparous premenopausal Greek woman suffering from systemic sclerosis, presented with a history of abdominal pain and abnormal uterine bleeding. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, total omentectomy, appendectomy, and pelvic lymph node dissection. The histopathology revealed synchronous primary cancers of the endometrium and left ovary. The final diagnosis was stage Ib endometrial cancer endometrioid type and stage IIIc ovarian cancer endometrioid type. She underwent postoperative adjuvant chemotherapy and remains well without evidence of disease 89 months after initial surgery. Conclusion. Although our patient was diagnosed at advanced stage disease, prolonged survival may be related with radical surgery and postoperative adjuvant chemotherapy according to current treatment strategies.http://dx.doi.org/10.1155/2011/392068
spellingShingle Georgios Androutsopoulos
Georgios Adonakis
Athanasios Tsamandas
Andreas Andonopoulos
Georgios Decavalas
Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
Case Reports in Rheumatology
title Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
title_full Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
title_fullStr Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
title_full_unstemmed Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
title_short Systemic Sclerosis and Multiple Cancers of the Female Genital Tract: Prolonged Survival following Current Treatment Strategies
title_sort systemic sclerosis and multiple cancers of the female genital tract prolonged survival following current treatment strategies
url http://dx.doi.org/10.1155/2011/392068
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