Ascites as Initial Presentation of Endometrial Carcinoma: A Case Report

Asian Journal of Pharmaceutical and Health Sciences,2016,6,3,1550-1552.
Published:September 2016
Type:Case Report
Authors:
Author(s) affiliations:

Rudrajit Paul1, Jayati Mondal2, Debaditya Roy3, Goutam Lahiri4, Tanmay Jyoti Sau5, Ayandip Nandi6

1Assistant Professor, Dept. of Medicine, Medical College, Kolkata, West Bengal, India. 

2RMO, Chittaranjan Seva Sadan, Kolkata, West Bengal, India. 

3Resident, Department of Medicine, Medical College Kolkata, West Bengal, India. 

4RMO, Department of Medicine, Medical College Kolkata, West Bengal, India. 

5Professor, Department of Medicine, Medical College Kolkata, West Bengal, India. 

6RMO, Department of Pathology, Medical College, Kolkata, West Bengal, India.

Abstract:

Endometrial carcinoma is a very common gynaecological malignancy. However, ascites as an initial presentation of this malignancy is quite rare and may confuse clinicians. We here present the case of a 51 year old female having massive ascites as initial manifestation of endometrial adenocarcinoma. The ascitic fluid was positive for malignant cells. In CT scan, the uterine mass showed calcification. Similar other presentations of endometrial carcinoma and other relevant literature has been discussed at length.

Papanicolaou stain of ascitic fluid (centrifuged) showing adenocarcinoma