Carcinome endométrioïde in situ et primitif de la trompe développé sur une endométriose tubo-ovarienne. À propos d'une observation

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This case report describes a simultaneous endometrioid carcinoma in situ and invasive carcinoma of the fallopian tube arising from a tubo-ovarian endometriosis.

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Abstract

The primitive endometrioid carcinoma of the fallopian tube is exceptional. Only three cases have been reported in the literature. Its rise on tubal endometriosis like for the ovary needs to meet the strict histological criteria established by Sampson and Scott in 1953. We report one case observed on a patient aged 45 years, who needed a total hysterectomy with bilateral annexectomy for menometrorrhagias associated to uterine leiomyomas which resisted to medical treatment. The finding of a primitive intra-epithelial endometrioid carcinoma of the left fallopian tube developed on bilateral tubo-ovarian endometriosis was fortuitously found during histological examination. Our observation seems to be unique since it shows an evident filiation between the lesions of tubal endometriosis and the adjoining endometrioid carcinoma contrary to the similar unique case reported in the literature where the link between the two lesions has not been demonstrated.

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Condition tags

endometriosis

MeSH descriptors

Carcinoma, Endometrioid Endometriosis Fallopian Tube Diseases Fallopian Tube Neoplasms Carcinoma, Endometrioid Carcinoma, Endometrioid Carcinoma, Endometrioid Endometriosis Endometriosis Endometriosis Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Diseases Fallopian Tube Neoplasms Fallopian Tube Neoplasms Fallopian Tube Neoplasms Female Humans Middle Aged

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References (17)

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europepmc
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