Adenosarcoma Arising in Inguinal Endometriosis

Michael R. Milam, Milam MR, Atkinson JB, James B. Atkinson, Currie Jl, John L. Currie
Obstetrics and gynecology · 2006 · vol. 108(3) , pp. 753–755 · doi:10.1097/01.aog.0000192550.19403.0f · PMID:17018491 · W2054632732
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This case report describes an adenosarcoma arising in inguinal endometriosis in a 47-year-old woman with a history of endometriosis and estrogen therapy who presented with a groin mass.

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This case report describes a 47-year-old woman with a history of endometriosis and prior hysterectomy who presented with an enlarged right groin mass. The patient had been receiving estrogen therapy for sixteen years following her surgery, which likely contributed to the development of the lesion. Surgical excision of the mass revealed an adenosarcoma arising within inguinal endometriosis, highlighting a rare malignant transformation in this anatomical location. The authors conclude that such malignancies should be considered in the differential diagnosis for patients with a similar clinical history presenting with groin masses. This paper is centrally about endometriosis — specifically documenting a rare case of adenosarcoma developing within inguinal endometriotic tissue.

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Abstract

In Brief BACKGROUND: Adenosarcoma arising in inguinal endometriosis is a rare clinical entity. CASE: A 47-year-old nulligravida presented with a persistent and enlarged right groin mass. Sixteen years earlier she had undergone total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis and was placed on estrogen therapy. Surgical en bloc excision of the 12 × 4 cm inguinal mass revealed adenosarcoma arising in endometriosis. CONCLUSION: Although a rare entity, adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for those patients with a history of endometriosis and chronic unopposed estrogen therapy who present with a groin mass. Adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for a patient with a history of endometriosis and chronic unopposed estrogen therapy who presents with a groin mass.
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Background

Adenosarcoma arising in inguinal endometriosis is a rare clinical entity. CASE: A 47-year-old nulligravida presented with a persistent and enlarged right groin mass. Sixteen years earlier she had undergone total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis and was placed on estrogen therapy. Surgical en bloc excision of the 12 × 4 cm inguinal mass revealed adenosarcoma arising in endometriosis.

Conclusion

Although a rare entity, adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for those patients with a history of endometriosis and chronic unopposed estrogen therapy who present with a groin mass. Adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for a patient with a history of endometriosis and chronic unopposed estrogen therapy who presents with a groin mass. Copyright © 2006 by The American College of Obstetricians and Gynecologists.

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Condition tags

endometriosis

MeSH descriptors

Adenosarcoma Endometriosis Inguinal Canal Inguinal Canal Adenosarcoma Adenosarcoma Adenosarcoma Diagnosis, Differential Endometriosis Endometriosis Female Groin Humans Lymph Nodes Lymph Nodes Middle Aged Round Ligament of Uterus Round Ligament of Uterus

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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