Adenosarcoma of the Uterus: A Case Report

Şivekar Tinar, MD; Salim Şehirali, MD; M. Murat İnal, MD; Yusuf Yildrim, MD; Esin Çelik, MD; Seyran Yiğit, MD

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Case

The patient was 27 years old and presented with symptoms of irregular uterine bleeding of 3 months' duration and a palpable mass. Gynecologic examination of the case revealed a normal vulva, an intact hymen, and a solid bloody mass protruding from the hymen. The rectal examination revealed that the uterus and ovaries were of normal size, and the parametrial tissues were free of tumor. Ultrasonographic evaluation also showed that the uterus was of a normal size, and it had a normal appearance with a thickened endometrium. There was a hyperechogenic 6-cm mass protruding from the cervix. The ovaries were of normal size and appearance. With the patient under general anesthesia, a biopsy from that mass together with cervical and endometrial curettage were performed. Pathologic examination of the mass revealed that it was a stage 1 uterine adenosarcoma (Figure). Laparatomy was planned on the basis of this diagnosis. After the peritoneal washing, a total abdominal hysterectomy-bilateral salpingho-oophorectomy was performed along with extirpation of the parametrium and pelvic-para-aortic lymph node sampling. The patient remains disease free and is being monitored by members of the oncology management committee of İzmir Atatürk State Hospital.

Histopathologic view of the uterine adenosarcoma.

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