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A rare case of extrauterine adenosarcoma arising in endometriosis of the rectovaginal septum.

Abstract：

OBJECTIVE:To present a rare case of endometrial stromal sarcoma arising in endometriosis of the rectovaginal septum. DESIGN:Case report. SETTING:Academic tertiary referral center for endometriosis treatment. PATIENT(S):A 50-year-old woman with a history of endometriosis presented with catamenial rectal pain and deep dyspareunia. Imaging findings suggested new endometriotic lesions in the rectovaginal space. INTERVENTION(S):Total hysterectomy, salpingo-oophorectomy, and excision of the lesion in the rectovaginal septum were performed. Although extemporary pathology confirmed endometriosis, the final histologic diagnosis was extrauterine adenosarcoma in the rectovaginal septum. Two years later, recurrence of the malignancy occurred and was treated by resecting the new perirectal mass. Subsequent radiotherapy and chemotherapy were administered. MAIN OUTCOME MEASURE(S):Imaging findings at follow-up evaluation. RESULT(S):The patient was in good health for 2 years after the initial surgery, when she developed a new lesion at the site of the previous resection. The histologic appearance of the lesion was consistent with recurrence of the tumor. After postoperative therapy, the patient is now without evidence of disease. CONCLUSION(S):Malignant transformation of endometriosis should be considered in the differential diagnosis of a new pelvic lesion in a patient with a history of endometriosis.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Raffaelli R,Piazzola E,Zanconato G,Fedele L

doi

10.1016/j.fertnstert.2003.09.053

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

1142-4

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015028204000093

journal_volume

81

pub_type

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