Primary Vaginal Adenosarcoma With Sarcomatous Overgrowth Arising in Recurrent Endometriosis: Feasibility of Laparoscopic Treatment and Review of the Literature

Pontrelli G, Giovanni Pontrelli, Mauro Cozzolino, Cozzolino M, Anna Stepniewska, Bruni F, Francesco Bruni, Pesci A, Anna Pesci, Marcello Ceccaroni
Journal of Minimally Invasive Gynecology · 2016 · vol. 23(5) , pp. 833–838 · doi:10.1016/j.jmig.2016.03.019 · PMID:27041653 · W2316385121
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This paper reports on a rare case of primary vaginal adenosarcoma with sarcomatous overgrowth originating in recurrent endometriosis, assessing the feasibility of laparoscopic treatment.

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Abstract

We report a case of a primary vaginal adenosarcoma with sarcomatous overgrowth in a postmenopausal 58-year-old woman with recurrent endometriosis. In the past 5 years she underwent several biopsies of a polypoid lesion on the vaginal cuff, and the last histologic examination of the biopsy showed an adenosarcoma with "sarcomatous overgrowth" in a background of endometriosis. There was no evidence of distant metastatic disease on the diagnostic workup, and we performed a laparoscopy to remove the pelvic mass. We reviewed the literature on the electronic databases Medline, Embase, and Science Direct on articles published in English from 1990 to 2015. We identified 5 articles in which the surgical treatment was performed via a laparotomic approach. The present case is the first in the literature to report feasibility of laparoscopic treatment for this kind of pathology with a detailed description of the surgical technique.

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Condition tags

endometriosis

MeSH descriptors

Adenosarcoma Endometriosis Laparoscopy Laparoscopy Vaginal Neoplasms Adenosarcoma Adenosarcoma Adenosarcoma Cell Transformation, Neoplastic Cell Transformation, Neoplastic Endometriosis Endometriosis Endometriosis Endometriosis Feasibility Studies Feasibility Studies Female Female Humans Humans

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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