Abstract
Ovarian endometrioid carcinomas account for the second largest group of
epithelial ovarian cancers and have lower recurrence rates than the more
common serous carcinoma. We present the rare case of a woman in her late
40’s with a pelvic recurrence of grade 1 endometrioid carcinoma. The
patient had previously undergone a total abdominal hysterectomy,
bilateral oophorectomy, and omentectomy, as well as 5 cycles of
chemotherapy. The right kidney was atrophic and had minimal function
secondary to chronic ureteric obstruction by the mass. This recurrence
was treated surgically. Total pelvic exenteration was required as the
tumour was matted and inseparable from the urinary bladder and
rectosigmoid colon. A right nephrectomy was performed as well to remove
the atrophic right kidney. The patient made a full recovery following
surgery. This case highlights the potential extent of optimal
cytoreductive surgery in an uncommon presentation of grade 1
endometrioid carcinoma recurrence.