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Case Study
- A Rare Case of Intramural Müllerian Adenosarcoma Arising from Adenomyosis of the Uterus
- Sun-Jae Lee, Ji Y. Park
- J Pathol Transl Med. 2017;51(4):433-440. Published online June 29, 2017
- DOI: https://doi.org/10.4132/jptm.2017.06.11
- 8,547 View
- 144 Download
- 12 Web of Science
- 13 Crossref
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Abstract
PDF - Müllerian adenosarcomas usually arise as polypoid masses in the endometrium of post-menopausal women. Occasionally, these tumors arise in the cervix, vagina, broad and round ligaments, ovaries and rarely in extragenital sites; these cases are generally associated with endometriosis. We experienced a rare case of extraendometrial, intramural adenosarcoma arising in a patient with adenomyosis. A 40-year-old woman presented with sudden-onset suprapubic pain. The imaging findings suggested leiomyoma with cystic degeneration in the uterine fundus. An ill-defined ovoid tumor with hemorrhagic degeneration, measuring 7.5 cm in diameter, was detected. The microscopic findings showed glandular cells without atypia and a sarcomatous component with pleomorphism and high mitotic rates. There was no evidence of endometrial origin. To recognize that adenosarcoma can, although rarely, arise from adenomyosis is important to avoid overstaging and inappropriate treatment.
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Citations
Citations to this article as recorded by
- Whether surgical procedure can improve the prognosis of endometrial cancer arising in adenomyosis (EC-AIA)? a systematic review and meta-analysis
Yi Sun, Shitong Lin, Weijia Wu, Fangfang Nie, Yuchen Liu, Jing Wen, Xiaoran Cheng, Qianwen Liu, Yuanpei Wang, Fang Ren
International Journal of Surgery.2024;[Epub] CrossRef - Mullerian adenosarcoma accidentally detected and coexisting with cervical carcinoma in situ: a rare case report
Xuemei Qing, Min Xie, Hongying Guo, Liying Zhang, Jiatian Ye, Yong Zhang, Ying Ma
Frontiers in Oncology.2024;[Epub] CrossRef - Mucinous carcinoma originating from uterine adenomyosis: a case report
Satoshi Ohira, Ryota Tachibana, Sayaka Yasaki, Koji Tsunemi, Natsuki Uchiyama, Eri Ikeda, Kenji Sano
Journal of Medical Case Reports.2023;[Epub] CrossRef - Endometrial Cancer Arising in Adenomyosis (EC-AIA): A Systematic Review
Antonio Raffone, Diego Raimondo, Manuela Maletta, Antonio Travaglino, Federica Renzulli, Daniele Neola, Umberto De Laurentiis, Francesco De Laurentiis, Mohamed Mabrouk, Manuel Maria Ianieri, Renato Seracchioli, Paolo Casadio, Antonio Mollo
Cancers.2023; 15(4): 1142. CrossRef - Adenomyosis and Its Possible Malignancy: A Review of the Literature
Liviu Moraru, Melinda-Ildiko Mitranovici, Diana Maria Chiorean, Raluca Moraru, Laura Caravia, Andreea Taisia Tiron, Ovidiu Simion Cotoi
Diagnostics.2023; 13(11): 1883. CrossRef - Case Report: Uterine Adenosarcoma With Sarcomatous Overgrowth and Malignant Heterologous Elements
Yunuén I. García-Mendoza, Mario Murguia-Perez, Aldo I. Galván-Linares, Saulo Mendoza-Ramírez, Norma L. García-Salinas, Julio G. Moctezuma-Ramírez, Blanca O. Murillo-Ortiz, Luis Jonathan Bueno-Rosario, Marco A. Olvera-Olvera, Guillermo E. Corredor-Alonso
Frontiers in Medicine.2022;[Epub] CrossRef - Adenomyosis as a Risk Factor for Myometrial or Endometrial Neoplasms—Review
Maria Szubert, Edward Kozirog, Jacek Wilczynski
International Journal of Environmental Research and Public Health.2022; 19(4): 2294. CrossRef - Uterine adenosarcoma arising from a subserosal adenomyoma: A case report
Shazia Fakhar, Tehreem Zahid, Yamina Ishtiaq
Gynecologic Oncology Reports.2022; 40: 100957. CrossRef - Uterine Adenosarcoma Originating in Adenomyosis: Report of an Extremely Rare Phenomenon and Review of Published Literature
Karen L. Talia, Yael Naaman, W. Glenn McCluggage
International Journal of Gynecological Pathology.2021; 40(4): 342. CrossRef - Uterine adenosarcoma. Report of 5 cases and review of literature
I.V. Barinova, I.N. Voloshchuk, A.A. Fedorov, N.V. Puchkova, S.N. Buyanova, M.A. Chechneva, A.A. Popov, O.V. Kapitanova, N.I. Kondrikov
Arkhiv patologii.2021; 83(3): 25. CrossRef - New Aspects of Sarcomas of Uterine Corpus—A Brief Narrative Review
Stoyan Kostov, Yavor Kornovski, Vesela Ivanova, Deyan Dzhenkov, Dimitar Metodiev, Rafał Watrowski, Yonka Ivanova, Stanislav Slavchev, Dimitar Mitev, Angel Yordanov
Clinics and Practice.2021; 11(4): 878. CrossRef - Uterine Adenosarcoma with Sarcomatous Overgrowth: A Case Report of Aggressive Disease in a 16-Year-Old Girl and a Literature Review
Hanyuan Liu, Zhen Shen, Dabao Wu, Ying Zhou
Journal of Pediatric and Adolescent Gynecology.2018; 31(4): 426. CrossRef - Uterine Adenosarcoma
Uwe A. Ulrich, Dominik Denschlag
Oncology Research and Treatment.2018; 41(11): 693. CrossRef
- Whether surgical procedure can improve the prognosis of endometrial cancer arising in adenomyosis (EC-AIA)? a systematic review and meta-analysis
Case Report
- Mullerian Adenosarcoma of the Ovary with Sex Cord-Stromal Differentiation: A case report.
- Sun Hee Sung, Soon Won Hong, Kyu Rae Kim, Woo Ick Yang
- Korean J Pathol. 1992;26(2):164-170.
- 1,763 View
- 25 Download
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Abstract
PDF
- Mullerian adenosarcoma is a tumor composed of a mixture of glandular and stromal elements in which the glandular component appear to be neoplastic but, histologically, benign with the stromal component showing varying degrees of malingancy. We report a case of ovarian m llerian adenosarcoma with sex cord stroma differentiation in the stromal components. A 57 year-old female who presented with palpable mass in the right lower abdomen had undergone through salingo-oophorectomy. Grossly, the ovary was multicystic, and partly showed a solid appearance with multiple polypoid projections into the dilated cystic spaces. On microscopic examination, the tumor consisted of benign to borderline epithelial glands that were lined by variety of mullerian epithelia and sarcomatous component with sex cord-stromal elements, which include sertoliform tubules, Leydig cell like clusters, and granulosa cells.
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