Cervical gastric-type adenocarcinoma manifesting initially as ovarian tumor with extensive peritoneal metastasis: a case report and literature review
10.3760/cma.j.cn101721-20241019-00336
- VernacularTitle:以卵巢肿瘤为首发表现的G-EAC腹腔广泛转移1例
- Author:
Xiaoxiao CHENG
1
;
Kaijia TU
;
Lina XIA
Author Information
1. 江西省妇幼保健院妇科肿瘤科,南昌 330000
- Publication Type:Journal Article
- Keywords:
Gastric-type endocervica adenocarcinoma;
Ovarian cancer;
Widespread abdominal metastasis
- From:
Clinical Medicine of China
2025;41(4):304-306
- CountryChina
- Language:Chinese
-
Abstract:
Cervical gastric-type adenocarcinoma is a rare subtype of HPV-independent mucinous adenocarcinoma of the cervix. We retrospectively analyzed the clinical data of a patient admitted to Jiangxi Maternal and Child Health Hospital who presented with a giant ovarian tumor as the initial symptom of cervical gastric-type mucinous adenocarcinoma. The patient underwent cytoreductive surgery for presumed ovarian cancer, during which cervical gastric-type mucinous adenocarcinoma with widespread abdominal metastasis was incidentally discovered. Postoperative platinum-based chemotherapy resulted in complete remission, and follow-up to date shows no evidence of disease recurrence. This malignancy has an insidious onset and is challenging to diagnose preoperatively, often leading to delayed treatment. However, complete remission was achieved through surgery and chemotherapy, demonstrating significant therapeutic efficacy.
