Debulking surgery for advanced stage ruptured ovarian carcinosarcoma with secondary hemoperitoneum and rectosigmoidian invasion. A case report and literature review

N. Bacalbașa, I. Bălescu, M. Dimitriu, C. Balalau, N. Suciu

Abstract: Ovarian carcinosarcomas are rare gynecological malignancies with high biological aggressiveness and poor outcomes when compared to their epithelial counterparts. However, it seems that the only way to offer a chance for cure for these patients is an aggressive surgical approach in order to achieve complete cytoreduction to no visible residual disease. We present a 57 year old woman who presented for diffuse pelvic pain and constipation and who was diagnosed with a large ruptured pelvic mass invading the recto-sigmoid colon. The patient was submitted to surgery, a total hysterectomy with bilateral adnexectomy en bloc with recto-sigmodian resection, pelvic and para-aortic lymph node dissection being performed. The histopathological studies confirmed the presence of an ovarian carcinosarcoma.
DOI:10.18643/gieu.2017.16

Keywords: debulking, ovarian carcinosarcoma, rectosigmoidian invasion.