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.