Case 1 | Case 2 | Case 3 | |
---|---|---|---|
Age (yr) | 64 | 55 | 55 |
History of pregnancy | G2P2 | G1P1 | G2P1 |
History of cancer | N | N | N |
Familial history of cancer | N | N | Her father died of lung cancer. |
Clinical presentation | Left low abdominal pain | Postmenopausal vagina bleeding | Vaginal bleeding |
Serum tumor biomarkers | Normal CA125, CA199 & CA153 | CA199: 89.8 IU/mL; Normal CA125 | ND |
Imaging findings | Endometrium 0.2 cm; A mass in the left parametrium; A cyst in the left adnexus | Endometrium 0.22 cm; Uterine leiomyomas | A mass in the cervical stump and a cyst in the left ovary |
Treatment | TAHBSO + complete staging surgery | TAHBSO + complete staging surgery | Radical resection of the cervical stump + BSO + complete staging surgery |
Postoperative chemotherapy | Y | Y | N |
Status of follow-up (time) | Recent case | Recent case | Alive with no evidence of cancer (44 months) |