Study of prevalence of endometrial cancer in patients with adenomyosis uteri

Ahmad Abdel Azim Essmat
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2021 · vol. 10(12) , pp. 4352 · doi:10.18203/2320-1770.ijrcog20214627 · W3217402879
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study found a 22% incidence of adenomyosis in hysterectomy specimens, with no statistically significant association between adenomyosis and endometrial carcinoma.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study analyzed pathology from hysterectomy specimens of 98 women (May 2020 to January 2021) to assess how often adenomyosis was present among endometrial cancer patients and to determine the frequency of adenomyosis and endometrial cancer at surgery. The incidence of adenomyosis in hysterectomy specimens was 22%, and adenomyosis was the only noted pathology in 22.7% of adenomyosis cases; uterine myomas were the most common accompanying pathology (95%), with significant association reported in endometrial carcinoma cases. The authors found no statistically significant difference between groups with and without adenomyosis regarding coexistence with endometrial carcinoma, and they note there was no evidence that adenomyosis increases endometrial cancer risk. This paper is centrally about endometriosis-related pelvic pathology in the form of adenomyosis — evaluating whether adenomyosis coexists with or is linked to endometrial cancer prevalence at hysterectomy.

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Abstract

Background: The aim of the study was to evaluate the prevalence of adenomyosis in endometrial cancer patients and to determine the frequency of adenomyosis and endometrial cancer at hysterectomy specimens.Methods: This study was carried out retrospectively on pathologic specimens of hysterectomies. A total of 98 women in the period May 2020 to January 2021enrolled to the study. All pathologies seen in hysterectomy specimens were noted. The frequency of adenomyosis and the accompanying pathologies were determined. These women were categorized into two groups according to the cause of hysterectomy. The incidence of adenomyosis was analyzed together with the endometrial cancer.Results: The incidence of adenomyosis was 22% at hysterectomy specimens. There was no statistically significant difference between the mean age of the two groups (p=0.002*). There were 22 cases with adenomyosis and the only pathologic finding was adenomyosis, in 22.7% of cases. The most common accompanying pathologies with adenomyosis were uterine myomas in 95% and on significant association was found in cases of endometrial carcinoma.Conclusions: There is no evidence that adenomyosis increases the risk of endometrial cancer as there is no statistically significant difference found between the group with and the group without adenomyosis in terms of coexistence with endometrial carcinoma.

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adenomyosis

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