Endometrial Adenocarcinoma With Signet Ring Cells
This report describes two cases of primary endometrial adenocarcinoma with signet ring cells, one arising within adenomyosis, demonstrating that this histology does not necessarily indicate metastasis from other sites.
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This case report describes two rare instances of primary endometrial adenocarcinoma characterized by the presence of signet ring cells, a feature that typically suggests metastasis from other sites such as the breast or gastrointestinal tract. The authors present one case of mucinous type and another of endometrioid type, noting that one of the tumors developed within an area of adenomyosis. They conclude that identifying signet ring cells does not automatically rule out a primary endometrial origin, challenging the common diagnostic assumption that such morphology indicates secondary spread. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.
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