Abstract
IntroductionUterine adenosarcoma is a rarely observed polypoid tumor with a mixed benign epithelial element and malignant stromal component. The treatment is total hysterectomy with bilateral salpingo-oophorectomy. It could be difficult to diagnose and associated to lymphovascular invasion.Case presentationA 45-year-old caucasian uniparous woman presented with uterine bleeding. She had several surgical procedures and pathology of removed recurrent polyps showed no malignancy. Finally, a total abdominal hysterectomy was performed because of atypical cells and suspected uterine adenosarcoma. The hysterectomy specimen confirmed the presence of uterine adenosarcoma associated with lymphatic and vascular tumor emboli. Surgery was completed with a second bilateral salpingo-oophorectomy and pelvic lymphadenectomy.ConclusionIn our report, we present a case of uterine adenosarcoma which was diagnosed after multiple surgical procedures and associated to lymphovascular emboli known to have a significant impact on overall survival and distant metastasis-free survival.
Highlights
Uterine adenosarcoma is a rarely observed polypoid tumor with a mixed benign epithelial element and malignant stromal component
In our report, we present a case of uterine adenosarcoma which was diagnosed after multiple surgical procedures and associated to lymphovascular emboli known to have a significant impact on overall survival and distant metastasis-free survival
Case presentation A 45-year-old Caucasian uniparous woman was referred to our department of gynecology following a suspected diagnosis of adenosarcoma that had been taken from a hysteroscopic resection of an endometrial polyp
Summary
Uterine adenosarcoma is a mixed epithelial and mesenchymal tumor of the uterus with a benign epithelial element and a malignant stromal component. Case presentation A 45-year-old Caucasian uniparous woman was referred to our department of gynecology following a suspected diagnosis of adenosarcoma that had been taken from a hysteroscopic resection of an endometrial polyp. She had presented with irregular uterine bleeding of approximately 10 months in duration without dysmenorrhea nor any other symptoms. A diagnostic hysteroscopy was performed after 3 months because of uncertain diagnosis and showed a recurrent uterine polyp. The polyp was removed by surgical hysteroscopy and pathologic examination was benign despite few probable atypical stromal cells. A new surgical hysteroscopy was performed 2 months later because of irregular uterine bleeding and showed a recurrent uterine polyp. The patient recovered well with no evidence of recurrent disease 12 months after surgery
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