Endometrial Serous Carcinoma Arising from Adenomyosis: A Clinico-Pathological Insight

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This case report describes a rare instance of serous endometrial carcinoma arising from adenomyosis in a post-menopausal woman, highlighting its infrequent occurrence and potentially poorer prognosis.

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This article presents a clinico-pathological insight into endometrial serous carcinoma reported as arising from adenomyosis, drawing on a case-based clinical and pathological description. The authors focus on characterizing the relationship between malignant endometrial serous histology and the adenomyotic tissue context through reported findings. A key limitation is that, as presented in a brief case report/insight format, the evidence level is restricted by lack of systematic sampling or broader comparative data. This paper is centrally about adenomyosis — it specifically describes endometrial serous carcinoma arising from adenomyosis.

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Abstract

Objective: Endometrial cancer (EC) is the most commonly diagnosed malignancy and has the secondhighest mortality rate among gynecological cancers. Adenomyosis is well-known for abnormal uterine bleeding and is a widely reported entity; however, an EC arising from the adenomyosis is a rare event; even rarer is the occurrence of serous endometrial carcinoma. Case report: A 60-year post-menopausal female presented with post-menopausal bleeding. Subsequently, she underwent a hysterectomy, which showed atrophic and cystic endometrium with extensive adenomyosis and atypical endometrial glands, which are diffusely P53 positive with intervening negative benign and focally positive dysplastic endometrial glands. A final diagnosis of serous endometrial carcinoma arising from adenomyosis was rendered. In a table format, previously reported serous endometrial carcinoma Arising cases from adenomyosis using PubMed search had been described. Conclusion: Serous endometrial carcinoma arising from adenomyosis (<20 cases reported) and has a slightly more dismal prognosis than those deriving from the endometrial cavity. Hence, this case report highlights the occurrence, rarity, and importance of such an entity.
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Publication Journal of Family & Reproductive Health Record type Journal article Published 16 June 2021 Authors Amrita Talwar | Pushpanjali Behera | Arvind Ahuja | Bani Sarkar | Ravi Hari Phulware The publisher of this work supports multiple resolution. The work is available from the following locations: {'doi': '10.18502/jfrh.v15i2.6454', 'member_id': '7770', 'member': 'Knowledge E DMCC', 'container-title': 'Journal of Family & Reproductive Health', 'primary-resource': 'http://publish.kne-publishing.com/index.php/JFRH/article/view/6454', 'tld': 'kne-publishing.com', 'clearbit-logo': '/static/no_logo.svg', 'coaccess': [], 'multiple-resolution': [{'url': 'https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1622', 'tld': 'tums.ac.ir', 'clearbit-logo': '/static/no_logo.svg'}, {'url': 'https://publish.kne-publishing.com/index.php/JFRH/article/view/6454', 'tld': 'kne-publishing.com', 'clearbit-logo': '/static/no_logo.svg'}], 'type': 'JOURNAL ARTICLE', 'published_date': '16 June 2021', 'publication': 'Journal of Family & Reproductive Health', 'title': 'Endometrial Serous Carcinoma Arising from Adenomyosis: A Clinico-Pathological Insight', 'name': None, 'id': None, 'location': None, 'display_doi': 'https://doi.org/10.18502/jfrh.v15i2.6454', 'grant_info': None, 'grant_info_funders': None, 'grant_info_funder_ids': '', 'grant_info_type': None, 'multiple_lead_investigators': [], 'multiple_co_lead_investigators': [], 'multiple_investigators': [], 'finances': [], 'project_description': None, 'award_amount': None, 'award_start': None, 'funding_scheme': None, 'internal_award_number': None, 'editors': None, 'authors': 'Amrita Talwar | Pushpanjali Behera | Arvind Ahuja | Bani Sarkar | Ravi Hari Phulware', 'chairs': None, 'supplementary_ids': None} https://doi.org/10.18502/jfrh.v15i2.6454 JSON XML

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adenomyosis

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