Endometroid Adenocarcinoma: A Possibility after Hysterectomy

In: Journal of South Asian Federation of Obstetrics and Gynaecology · 2010 · vol. 2(3) , pp. 230–232 · doi:10.5005/jp-journals-10006-1108 · W2114099602
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This case report describes a 57-year-old woman with a history of endometriosis who developed an endometrioid adenocarcinoma after hysterectomy and bilateral salpingo-oophorectomy.

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Abstract

Malignant transformation is a rare sequelae of endometriosis. We report a case of Mrs. GR who was a 57-year-old, nulliparous woman. She presented with passing fecal matter vaginally and a left pelvic mass increasing in size and discomfort. She had a history of subtotal hysterectomy and bilateral salpingo-oophrectomy for endometriosis and was incidentally found to have a benign Sertoli-Leydig cell tumor in a single ovary. She subsequently had a CT scan confirming the presence of a mass greater than 9 cm in size. The biopsy suggested endometrioid adenocarcinoma. Our case shows possibility of malignant transformation of endometriosis after hysterectomy and bilateral salpingo-oophrectomy in a patient with a prior history of endometriosis.

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endometriosis

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