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A case of adenosarcoma of the uterus.

Taga S, Sawada M, Nagai A, Yamamoto D, Hayase R - Case Rep Obstet Gynecol (2014)

Bottom Line: Cytological test of endometrium was performed but the result was negative.The lesion was confined to the uterus.Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, Japan.

ABSTRACT
Adenosarcoma is a rare tumor which consists of benign glandular epithelium and malignant mesenchymal component. Here we report a case of adenosarcoma of the uterine corpus. Case Presentation. A 59-year-old woman presented with vaginal bleeding and visited a local clinic. She had a uterine tumor pointed out and was referred to our hospital. Ultrasound scans revealed a large heterogeneous mass occupying the whole uterine cavity. Cytological test of endometrium was performed but the result was negative. A fractional endometrial curettage revealed no malignancy. Magnetic resonance imaging (MRI) revealed a heterogeneous solid tumor of 77 × 76 mm. Total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed. On gross examination, the tumor was arising from the uterine body and occupied the whole uterine cavity. Histopathological examination revealed phyllodes-like architecture on low magnificationandperiglandular cuffing of tumor cells. The lesion was confined to the uterus. Histopathological final diagnosis was adenosarcoma. Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.

No MeSH data available.


Related in: MedlinePlus

The surgical specimen.
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fig3: The surgical specimen.

Mentions: Degenerated myoma, leiomyosarcoma, or endometrial stromal sarcoma was suspected. Serum levels of CA125 were slightly elevated to 41.4 U/mL, whereas CA19-9 and CEA were within normal limits. The patient was admitted and total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was carried out (Figure 3).


A case of adenosarcoma of the uterus.

Taga S, Sawada M, Nagai A, Yamamoto D, Hayase R - Case Rep Obstet Gynecol (2014)

The surgical specimen.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3926369&req=5

fig3: The surgical specimen.
Mentions: Degenerated myoma, leiomyosarcoma, or endometrial stromal sarcoma was suspected. Serum levels of CA125 were slightly elevated to 41.4 U/mL, whereas CA19-9 and CEA were within normal limits. The patient was admitted and total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was carried out (Figure 3).

Bottom Line: Cytological test of endometrium was performed but the result was negative.The lesion was confined to the uterus.Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, Japan.

ABSTRACT
Adenosarcoma is a rare tumor which consists of benign glandular epithelium and malignant mesenchymal component. Here we report a case of adenosarcoma of the uterine corpus. Case Presentation. A 59-year-old woman presented with vaginal bleeding and visited a local clinic. She had a uterine tumor pointed out and was referred to our hospital. Ultrasound scans revealed a large heterogeneous mass occupying the whole uterine cavity. Cytological test of endometrium was performed but the result was negative. A fractional endometrial curettage revealed no malignancy. Magnetic resonance imaging (MRI) revealed a heterogeneous solid tumor of 77 × 76 mm. Total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed. On gross examination, the tumor was arising from the uterine body and occupied the whole uterine cavity. Histopathological examination revealed phyllodes-like architecture on low magnificationandperiglandular cuffing of tumor cells. The lesion was confined to the uterus. Histopathological final diagnosis was adenosarcoma. Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.

No MeSH data available.


Related in: MedlinePlus