Aguilar-Torres CR, Enríquez-Sánchez LB, Ceballos-Arguijo J, Santoscoy-Ibarra JM, Molina-Avilés G, Pérez-Molinar KF, Montelongo-Santiesteban JJ, Saad-Manzanera MI

Language: Spanish
References: 18
Page: 599-605
PDF size: 392.28 Kb.

ABSTRACT

Background: Among ovarian epithelial neoplasms, cystadenomas are the most common and almost all of them have a good prognosis. They can appear at any age, although most arise between 40 and 60 years of age.
Clinical case:: A 63-year-old patient with distal dry necrosis in the right forefoot, with a serous cystadenofibroma in the left ovary that occluded a common iliac artery and caused a distal thrombosis that required surgical intervention and right transmetatarsal amputation.
Conclusion: Timely diagnosis and surgical treatment are decisive to avoid the extension of necrosis and to achieve the preservation of most of the affected limb.

REFERENCES

1. Limaiem F, Lekkala MR, Mlika M. Ovarian Cystadenoma.https://www.ncbi.nlm.nih.gov/books/NBK536950/

2. Tavassoli FA, Devilee P. Pathology and Genetics of Tumoursof the Breast and Female GenitalOrgans. WHO Clasifficationof Tumours, 3 rd ed, Vol 4. ISBN 978-92-832-2412-9.

3. Tierney KE, Rogers A, Mhawech-Fauceglia P, Lin YG. Recurrentleiomyosarcoma presenting as malignant arterialtumor thrombus. Gynecol Oncol Case Rep 2013; 4: 32-4.doi: 10.1016/j.gynor.2012.12.011

4. Edwards RL, Rickles FR, Moritz TE, Henderson WG, ZacharskiLR, et al. Abnormalities of blood coagulation tests inpatients with cancer. Am J Clin Pathol 1987; 88 (5): 596-602.doi: 10.1093/ajcp/88.5.596

5. Devabhaktuni P, Gupta PC, Bhupatiraju S, Puranam B, AbdulSM. Uterine Fibromyoma and Intravascular Thrombosis-Eight Cases. Open J Obstet Gynecol 2014; 04 (04): 197-207.doi:10.4236/ojog.2014.44033

6. Curtin JP. Management of the Adnexal Mass. Gynecol Onco1994 ;55 (3): S42-6. doi:10.1006/gyno.1994.1340

7. National Institutes of Health Consensus DevelopmentConference Statement. Gynecol Oncol 1994; 55 (3): S4-14.

8. Cotte B, Haag T, Vaudoyer F, Canis M, et al.. Ecografía de losquistes y tumores del ovario. EMC Ginecol Obstet 2011; 47(4): 1-24. https://doi.org/10.1016/S1283-081X(11)71166-3

9. Stanko CM, Severson MA, Molpus KL. Deep venous thrombosisassociated with large leiomyomata uteri. A casereport. J Reprod Med 2001; 46 (4): 405-7. PMID: 11354847

10. Shiota M, Kotani Y, Umemoto M, Tobiume T, et al. Deep-Vein Thrombosis Is Associated with Large Uterine Fibroids.Tohoku J Exp Med 2011; 224 (2): 87-9. doi:10.1620/tjem.224.87

11. Shiota M, Kotani Y, Umemoto M, Tobiume T, et al. Riskfactors for deep-vein thrombosis and pulmonary thromboembolismin benign ovarian tumor. Tohoku J Exp Med2011; 225 (1): 1-3. doi: 10.1620/tjem.225.1

12. Ohtani T, Tanita M, Tagami H. Resolution of a leg ulcerafter hysterectomy for huge uterine myoma. J Dermatol2003; 30 (7): 530-2. 10.1111/j.1346-8138.2003.tb00427.x

13. Zinn HL, Abulafia O, Sherer DM, Sclafani SJA. Lowerextremity claudication resulting from uterine leiomyoma–associated common iliac artery compression.Obstet Gynecol 2010; 115 (2 Part 2): 468-70. 10.1097/AOG.0b013e3181cb8f6c

14. Liu W, Liu M, Xue J. Detection of intravenous leiomyomatosiswith intracardiac extension by ultrasonography: Acase report. Oncol Lett 2013; 6 (2): 336-8. doi: 10.3892/ol.2013.1387

15. Xu Z-F, Yong F, Chen Y-Y, Pan A-Z. Uterine intravenous leiomyomatosiswith cardiac extension: Imaging characteristicsand literature review. World J Clin Oncol 2013; 4 (1): 25-8.doi: 10.5306/wjco.v4.i1.25

16. Venous Thromboembolism in Pregnancy. https://www.ahajournals.org/doi/epub/10.1161/ATVBAHA.109.184127

17. Sidawy AN, Perler BA. Rutherford’s Vascular Surgery andEndovascular Therapy, e-Book. Elsevier Health Sciences;2018; 2838.

18. Hamilton CA, Robinson WR. Femoral artery occlusionfollowing pelvic cancer surgery. Gynecol Oncol 1996; 63(1): 151-3. doi: 10.1006/gyno.1996.0296