MALIGNANCIES OF PELVIC ORGANS IN FEMALE – MYRIAD OF MIMICS

Abstract

Malignancies of Pelvic Organs in females represent complex diagnostic and treatment challenges. Hidden by bony pelvis with nonspecic symptoms and signs, they are often detected late in their course. Further dilemma arises while assessing the organ of origin, particularly in advanced disease. Majority arise from gastrointestinal and genitourinary tract, with less common sites including connective tissues, nerves and lymphovascular structures. Work up for these patients include imaging, bio chemical markers and biopsy. Imaging is also needed to determine whether tumor operability or neoadjuvant treatment is needed. The goal of this retrospective case analysis was to report on a series of patients who presented with a presumptive diagnosis of ovarian cancer in surgical oncology department and all were nally diagnosed to have a different malignancy. We describe the clinical presentation, surgical management, adjuvant treatment, and overall outcome in these patients.