Localized amyloidosis in endometrioid carcinoma of the uterus: a rare association

Mrinalini Kotru, Harish Chandra, Navjeevan Singh, Arati Bhatia
In: Archives of Gynecology and Obstetrics · 2007 · vol. 276(4) , pp. 383–384 · doi:10.1007/s00404-007-0357-x · PMID:17406875 · W2059771571
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This case report describes a rare instance of localized intratumoral amyloidosis occurring in the endometrium of a patient with well-differentiated endometrioid adenocarcinoma.

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Abstract

BackgroundAmyloidosis is associated with infections, chronic disorders, hematological malignancies and endocrine neoplasms. Only rarely has it been associated with other tumors. Amyloidosis of the endometrium is rare and has only been reported as part of a systemic disease.Case reportA 65-year-old postmenopausal female presented with irregular vaginal bleeding. Ultrasonography revealed a growth in the uterine cavity and enlarged internal and external iliac lymph nodes. Total hysterectomy with Bilateral salpingo-ophorectomy and dissection of pelvic fascia with external and internal iliac lymph nodes was done. The histologic diagnosis was that of a well-differentiated endometrioid adenocarcinoma: villoglandular type. Additionally, there were intratumoral nodular deposits of amyloid which were positive with Congo red showing apple green birefringence on polarization.ConclusionThis is an unusual case of amyloidosis associated with endometrioid carcinoma of the uterus.

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