Primary Peritoneal Mullerian Adenosarcoma with Sarcomatous Overgrowth Associated with Endometriosis: A Case Report

Dincer AD, Ayse D. Dincer, Patrick Timmins, Timmins P, Pietrocola D, Donna Pietrocola, Hugh A.�G. Fisher, Fisher H, Hugh Fisher, Robert A. Ambros, Ambros RA
International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists · 2002 · vol. 21(1) , pp. 65–68 · doi:10.1097/00004347-200201000-00012 · PMID:11781526 · W2009479990
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This case report details a 50-year-old female with a novel primary peritoneal mullerian adenosarcoma featuring sarcomatous overgrowth and associated endometriosis.

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This case report describes a 50-year-old female diagnosed with primary peritoneal Mullerian adenosarcoma featuring sarcomatous overgrowth. The patient presented with multiple pelvic and subdiaphragmatic masses composed of benign Mullerian glands surrounded by high-grade sarcomatous stroma, including a perisplenic lesion lacking epithelial components. Histological examination revealed multiple foci of endometriosis directly associated with the pelvic tumor masses, marking the first reported instance of this specific association. This paper is centrally about endometriosis — specifically its pathological association with a rare primary peritoneal Mullerian adenosarcoma with sarcomatous overgrowth.

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Abstract

We report a primary peritoneal mullerian adenosarcoma with sarcomatous overgrowth associated with endometriosis in a 50-year-old female. The tumor formed multiple peritoneal masses occupying the pelvis and subdiaphragmatic space. Histologically, the tumor was composed of benign-appearing mullerian glands surrounded by a sarcomatous stroma. In addition, one perisplenic mass was largely devoid of the epithelial component and was of higher grade than the remaining lesions. Multiple foci of endometriosis were associated with the pelvic masses. To our knowledge, primary peritoneal mullerian adenosarcoma with sarcomatous overgrowth associated with endometriosis has not been previously reported.
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Case Reports Primary Peritoneal Mullerian Adenosarcoma with Sarcomatous Overgrowth Associated with Endometriosis: A Case Report - Ayse D. Dincer - Patrick Timmins - Donna Pietrocola - Hugh Fisher - Robert A. Ambros International Journal of Gynecological Pathology 21(1):p 65-68, January 2002. Summary: We report a primary peritoneal mullerian adenosarcoma with sarcomatous overgrowth associated with endometriosis in a 50-year-old female. The tumor formed multiple peritoneal masses occupying the pelvis and subdiaphragmatic space. Histologically, the tumor was composed of benign-appearing mullerian glands surrounded by a sarcomatous stroma. In addition, one perisplenic mass was largely devoid of the epithelial component and was of higher grade than the remaining lesions. Multiple foci of endometriosis were associated with the pelvic masses. To our knowledge, primary peritoneal mullerian adenosarcoma with sarcomatous overgrowth associated with endometriosis has not been previously reported. Copyright © 2002 Lippincott Williams & Wilkins, Inc.

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Condition tags

endometriosis

MeSH descriptors

Adenosarcoma Endometriosis Mixed Tumor, Mullerian Peritoneal Neoplasms Adenosarcoma Adenosarcoma Adenosarcoma Endometriosis Endometriosis Endometriosis Female Histocytochemistry Humans Middle Aged Mixed Tumor, Mullerian Mixed Tumor, Mullerian Mixed Tumor, Mullerian Peritoneal Neoplasms Peritoneal Neoplasms Peritoneal Neoplasms

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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