Carcinoma primario peritoneal sincrónico con tumor de músculo liso de potencial maligno incierto: reporte de caso

Alex Solano; Diana Silva; Milagros Abad-Licham; Pedro Hernández; Jorge Huamanchumo; Juan Astigueta

doi:10.37711/rpcs.2022.4.1.363

Authors

Alex Solano Escuela de Medicina Humana. Universidad Privada Antenor Orrego, Trujillo, Perú https://orcid.org/0000-0002-5340-4688
Diana Silva Escuela de Medicina Humana. Universidad Privada Antenor Orrego, Trujillo, Perú https://orcid.org/0000-0003-4225-0959
Milagros Abad-Licham Escuela de Medicina Humana. Universidad Privada Antenor Orrego, Trujillo, Perú https://orcid.org/0000-0002-3530-6937
Pedro Hernández Departamento de Cirugía Oncológica. Instituto Regional de Enfermedades Neoplásicas Norte, Trujillo, Perú https://orcid.org/0000-0003-1153-9979
Jorge Huamanchumo Departamento de Medicina Oncológica. Instituto Regional de Enfermedades Neoplásicas Norte, Trujillo, Perú https://orcid.org/0000-0002-0138-2157
Juan Astigueta Departamento de Cirugía Oncológica. Instituto Regional de Enfermedades Neoplásicas Norte, Trujillo, Perú https://orcid.org/0000-0001-5984-3270

DOI:

https://doi.org/10.37711/rpcs.2022.4.1.363

Keywords:

carcinoma, peritoneum, smooth muscle, uterus, synchronism

Abstract

Primary peritoneal serous carcinoma (PSC) is a rare, aggressive, malignant neoplasm that is usually diagnosed incidentally, after having excluded an ovarian primary. Another rare entity is uterine smooth muscle tumor of uncertain malignant potential (STUMP), which is a borderline pathology between leiomyomas and leiomyosarcomas. Its synchronism has not been reported in the literature. We present the case of a 50-year-old woman with a twelve-month illness characterized by progressive abdominal distention, pain, weight loss, and edema in the lower limbs. The patient underwent surgery for a uterine tumor, to rule out sarcoma, finding, in addition to the gynecological neoplasia, solid peritoneal lesions. The histological diagnosis was STUMP synchronous with CSP. The evolution was unfavorable, dying three weeks after surgery. In the literature we don’t find cases of coexistence of these pathologies, so our finding represents a contribution in gynecological oncology.

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