Publications

Authors:

Raffaelli, Ricciarda; Piazzola, E; Zanconato, Giovanni; Fedele, Luigi

Title:

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

Year:

2004

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Format:

A Stampa

Referee:

Sì

Name of journal:

Fertility and Sterility

ISSN of journal:

0015-0282

N° Volume:

81

Number or Folder:

4

Page numbers:

1142-1144

Keyword:

adenosarcoma; endometriosis; rectovaginal septum

Short description of contents:

malignant transformation of endometriosis should be considered in the differential diagnosis of a new pelvic lesion in a patient with a history of endometriosis

Note:

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.

Product ID:

18302

Handle IRIS:

11562/18302

Deposited On:

May 14, 2008

Last Modified:

November 3, 2022

Bibliographic citation:

Raffaelli, Ricciarda; Piazzola, E; Zanconato, Giovanni; Fedele, Luigi, A rare case of extrauterine adenosarcoma arising in endometriosis of the rectovaginal septum «Fertility and Sterility» , vol. 81 , n. 4 , 2004 , pp. 1142-1144

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo