Unusual case of adenocarcinoma arising in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly

Peiretti M, Michele Peiretti, Zakashansky K, Konstantin Zakashansky, Melis GB, Gian Benedetto Melis, Mais V, Valerio Mais
Fertility and sterility · 2007 · vol. 90(1) , pp. 199.e13–199.e15 · doi:10.1016/j.fertnstert.2007.06.054 · PMID:17888431 · W2008977745
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This paper describes a rare case of adenocarcinoma developing within endometriosis in a young woman who also had a Müllerian anomaly, presenting as a diagnostic challenge mimicking colorectal cancer.

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Abstract

ObjectiveTo report a case of endometrioid adenocarcinoma that arose in endometriosis mimicking colorectal cancer in a young woman with a Müllerian anomaly.DesignA case report.SettingA university hospital.Patient(s)A 31-year-old, white nulligravida woman with a history of two previous laparoscopies for infertility and chronic pelvic pain. A solid rectosigmoid mass adherent to the left pelvic sidewall was found in this patient.Intervention(s)The patient was subjected to an exploratory laparotomy followed by adjuvant chemotherapy.Main outcome measure(s)Surgical findings and histopathological observations are included in this report.Result(s)Intraoperative and histologic examinations revealed endometriosis-associated colorectal cancer.Conclusion(s)Although a rare event, this condition should be considered in the diagnosis of women with a previous history of pelvic endometriosis, Müllerian malformation, abdominal pain, constipation, or rectal bleeding.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Carcinoma, Endometrioid Colorectal Neoplasms Endometriosis Mullerian Ducts Adult Carcinoma, Endometrioid Carcinoma, Endometrioid Carcinoma, Endometrioid Chemotherapy, Adjuvant Colorectal Neoplasms Colorectal Neoplasms Colorectal Neoplasms Endometriosis Endometriosis Endometriosis Fatal Outcome Female Humans Hysterectomy Ileostomy

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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Cited by (3)

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