Extra-uterine müllerian tumorsa review of the literature and the report of a case
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Abstract
A 42-year-old woman underwent partial resection of inoperable stromal endo-metriosis arising in pelvic endometriosis. Death of massive tumor followed 16 years 5 months later. Analysis of this and 43 reported cases of extra-uterine Müllerian tumors of all histologic varieties showed 18 within or close to endometriosis. These involved ovary or peritoneum almost exclusively and were diagnosed stromal endometriosis or endometrial sarcoma. Average age was 47 years. Survival time varied widely and averaged 6 years. The remaining 26 cases involved patients with an average age of 57 years, whose tumors arose only in ovary or fallopian tube; 25 were diagnosed carcinosarcoma or malignant-mixed Müllerian tumor. Death within one year was common. Histologic transitions among endometrial stroma, stromal endometriosis, endometrial sarcoma, and carcinosarcoma support the view that these tumors are closely related and that at least some Müllerian tumors spring from endometrial stromal cells.
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Cited by (14)
- Extra-uterine low grade endometrioid stromal sarcoma arising from ovarian endometriosis: a case report and review of the literature 2019
- A Rare Case of Multiple Malignancies arising in Endometriosis: Diffuse Extra-Uterine High-grade Endometrial Stromal Sarcoma and Ovarian Carcinoma 2015
- Extrauterine Low-Grade Endometrial Stromal Sarcoma With Florid Endometrioid Glandular Differentiation 2001
- Neoplastic and Pre-Neoplastic Changes in Gastrointestinal Endometriosis 2000
- Extrauterine low‐grade endometrial stromal sarcoma: Report of three cases 1998
- Extra-uterine endometrial stromal sarcoma with DNA flow cytometric analysis 1992
- Endometrioid stromal sarcomas arising from ovarian and extraovarian endometriosis: Report of two cases and review of the literature 1990
- Endometrioid Adenosarcoma of the Bladder Arising from Endometriosis 1990
- Endometriosis, Lesions of the Secondary Müllerian System, and Pelvic Mesothelial Proliferations 1987
- Malignant mixed mullerian tumor arising in extragenital endometriosis: Report of a case and review of the literature 1986
- Endolymphatic stromal myosis of the ovary: A report of three cases and literature review 1981
- Malignancy arising in extragonadal endometriosis.A case report and summary of the world literature 1977
- Extragenital mixed heterologous tumor of müllerian type arising in the cecal peritoneum 1977
- Müllerian adenosarcoma of the uterine cervix with heterologous elements: a light and electron microscopic study 1976
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