Peritoneal carcinomatosis from ovarian paraganglioma: Report of a rare case and systematic review of the literature

Nicolò Bizzarri, Franco De Cian, Stefano Di Domenico, Maria Grazia Centurioni, Serafina Mammoliti, Valentina Ghirardi, Valerio Gaetano Vellone

Research output: Contribution to journalArticle

Abstract

Paraganglioma is one of the rarest neoplasms involving the ovary, with only 10 previous reports. We present a case of peritoneal carcinomatosis from primary ovarian paraganglioma and a systematic review of the literature. Clinical information was retrieved from medical records, and a systematic review of the literature was performed according to meta-analysis of observational studies in epidemiology guidelines. A 33-year-old woman presented with a 12-month history of hypertension and weight loss. She was diagnosed with ovarian paraganglioma and was treated with extensive debulking surgery to no residual disease after three cycles of neoadjuvant chemotherapy. She recurred after 6months and was started on somatostatin-analogue. Following further disease progression with bone metastasis (treated with palliative radiotherapy), a trial with Sunitinib was started. The patient died 30 months after initial diagnosis. Of the cases reported to date, only one had peritoneal metastasis at presentation but none of them had such an ominous prognosis. Ovarian paraganglioma is an extremely rare condition. We report the first case of primary malignant ovarian paraganglioma with an exceptionally aggressive behavior. Clinicopathological correlation with immunohistochemistry is essential to avoid misdiagnosis. A standard treatment is not recommended yet but cytoreductive surgery seems to be a favorable approach to prolong survival.

Original languageEnglish
Pages (from-to)1682-1692
Number of pages11
JournalJournal of Obstetrics and Gynaecology Research
Volume44
Issue number9
DOIs
Publication statusPublished - 2018

Keywords

  • Ovary
  • Paraganglioma
  • Peritoneal carcinomatosis
  • Peritoneal carcinosis
  • Pheochromocytoma

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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