A Case of Endometrioid Adenocarcinoma Arising from Adenomyosis
Joint Authors
Nagai, Aya
Taga, Shigeki
Sawada, Mari
Hayase, Ryoji
Yamamoto, Dan
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-02-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Malignant changes in endometriosis are often reported, but those in adenomyosis are rare.
We report a case of endometrioid adenocarcinoma arising from adenomyosis.
Case Presentation.
A 57-year-old woman presenting with vaginal bleeding was referred to our hospital.
Cytological tests of endometrium revealed atypical glandular cells.
Fractional endometrial curettage revealed normal endometrium without atypia.
Magnetic resonance imaging (MRI) revealed multiple myomas.
The endometrium was slightly enhanced on T1-weighted imaging and endometrial cancer was suspected.
Myometrial invasion was not evident.
The patient was admitted and semiradical hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed.
Histopathological study revealed grade 1 endometrioid adenocarcinoma.
Although the lesion was located in the muscle layer of the corpus and invaded more than half of it, the endometrium was intact.
Pelvic lymph node metastasis was noticed.
No cervical invasion or metastasis to the adnexa was seen.
We diagnosed the case with a stage 1B endometrioid adenocarcinoma originating from adenomyosis.
Adjuvant chemotherapy was then performed in the form of 5 cycles of paclitaxel (180 mg/m2) and carboplatin (AUC = 5).
Five years later, right lung metastasis and right para-aortic and pelvic lymph nodes metastasis were noticed.
Paclitaxel and carboplatin are now being administered.
American Psychological Association (APA)
Taga, Shigeki& Sawada, Mari& Nagai, Aya& Yamamoto, Dan& Hayase, Ryoji. 2014. A Case of Endometrioid Adenocarcinoma Arising from Adenomyosis. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-481481
Modern Language Association (MLA)
Taga, Shigeki…[et al.]. A Case of Endometrioid Adenocarcinoma Arising from Adenomyosis. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-481481
American Medical Association (AMA)
Taga, Shigeki& Sawada, Mari& Nagai, Aya& Yamamoto, Dan& Hayase, Ryoji. A Case of Endometrioid Adenocarcinoma Arising from Adenomyosis. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-481481
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481481