Rare gynecological entity: malignant cervical PEComa (perivascular epithelioid cell differentiation tumour) - challenges in diagnosis, treatment and surveillance

Abstract: Perivascular epithelioid cell tumors constitute a family of mesenchymal tumors characterized by the concomitant expression of melanocytic and muscular markers. Gynecological perivascular epithelioid cell tumors are rare, encompassing about 25% of cases. Studies demonstrate an even rarer occurrence in the uterine cervix. In this article, we report a case of malignant perivascular epithelioid cell tumors of the uterine cervix in a young patient, managed with total hysterectomy with unilateral salpingo- oophorectomy (due to suspected neoplasic involvement of the right ovary) and bilateral pelvic lymphadenectomy. Due to limited data, diagnosing these tumors is challenging. Given the uncertain biological behavior of this neoplasm, they should be considered potentially malignant and require long-term follow-up, despite the potential for late local recurrence and distant metastases. Surgical treatment involving complete resection of the lesion with clear margins remains the recommended option for this type of tumor until more consistent evidence can support adjuvant treatments.

Weitere Titel
Entidade ginecológica rara: PEComa cervical maligno (tumor perivascular de diferenciação de células epitelióides) - desafios no diagnóstico, tratamento e vigilância
Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Rare gynecological entity: malignant cervical PEComa (perivascular epithelioid cell differentiation tumour) - challenges in diagnosis, treatment and surveillance ; volume:20 ; number:CP ; year:2024
Brazilian journal of oncology ; 20, Heft CP (2024)

Beteiligte Personen und Organisationen
Anjos, Amanda da Silva
Kwiatkowski, Filipe Vieira
Kwiatkowski, Rafael Vieira
Bonow, Danielle Rediess
Vasques, Luana Ferreira
Teixeira, Sabine Triguero

DOI
10.5935/2526-8732.20230459
URN
urn:nbn:de:101:1-2501301155384.832238451677
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:24 MESZ

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Beteiligte

  • Anjos, Amanda da Silva
  • Kwiatkowski, Filipe Vieira
  • Kwiatkowski, Rafael Vieira
  • Bonow, Danielle Rediess
  • Vasques, Luana Ferreira
  • Teixeira, Sabine Triguero

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