AI Summary & Key Takeaways
AI InsightNo further tumor growth has been noted.Conclusion: Adenocarcinoma arising in residual endometriosis is rare condition and only a few cases are reported in the literature
📌 3 Key Takeaways
Abstract
Aim: Malign transformation in extraovarian endometriosis is rare. In this paper we give literature information and report one case of malignancy arising in endometriotic deposits six years after total abdominal hysterectomy and salpingoooferectomy, followed by unopposed estrogen replacement therapy.Case Report: 49 years old woman presented with postcoital vaginal bleeding. The patient had undergone total abdominal hysterectomy and bilateral salpingo-oopherectomy for endometriosis six years previously and treated with unopposed estrogen replacement therapy. Biopsy taken from the vaginal vault mass was reported as endometrioid adenocarcinoma. An en block resection of the tumor including 1/3 upper vagina pelvic lymphadenectomy and paraaortic lymph nodes sampling was performed and adjuvan radiotherapy was added. After 2 years the patient is alive and well. No further tumor growth has been noted.Conclusion: Adenocarcinoma arising in residual endometriosis is rare condition and only a few cases are reported in the literature
Özet
Amaç: Endometriozis nedeniyle total abdominal histerektomi, bilateral salpingooferektomi uygulanan ancak postoperatif altıncı yılında vajinal apeksdeki artık endometriozis odağından gelişen adenokarsinoma olgusunun sunumu aracılığı ile literatürün gözden geçirilmesi.Olgu Sunumu: Ocak 1998'de endometriozis nedeniyle total abdominal histerektomi, bilateral salpingo-ooferektomi uygulanan 49 yaşındaki hastadan kanlı akıntı ve postkoital kanama şikayeti olması üzerine vajinal apeksde saptanan tümörden Nisan 2004' de alınan tanısal biopsi sonucu endometrioid adenokarsinom olarak rapor edildi.. Vajinal apeksdeki tümöral kitleyi kapsayan 1/3 üst vajen ekstirpasyonu, pelvik lenfadenektomi, paraaortik lenf örneklemesine adjuvan radyoterapi eklenerek klinik izleme geçildi. Olgu postoperatif ikinci yılında halen sağ ve sağlıklı olarak izlenmektedir.Sonuç: Artık endometriozis odağında adenokarsinom gelişimi oldukça nadirdir. Literatürde de oldukça az sayıda vaka rapor edilmiştir.