Adenosarcoma of the uterine body in a 19-year-old woman -three year survival: Case report

Background: Uterine adenosarcoma is a rarely by occurring tumor. It is composed of a benign adenoid structure and a sarcomatous stromal component. The average age of patients with a diagnosis of uterine adenosarcoma is about 70 years.

Case: We present a case of a 19-year-old woman with a rarely occurring uterine adenosarcoma manifesting itself by irregular bleeding and producing fragile polypous matter which was spreading into the vagina. The final diagnosis was made only by repeated biopsies. Abdominal hysterectomy with bilateral salpingo-oophorectomy, appendectomy and revision of iliac lymph nodes were performed. Teleradiotherapy was applied from 4 fields in 25 fractions to a total exposure of 50 Gy. It was followed by six cycles of chemotherapy containing 50 mg/m2 doxorubicin and 5 g/m2 ifosfamid administered in 21-day dose intervals.

Conclusion: This case should demonstrate the difficulty of making the right diagnosis. Since the end of therapy the patient has been regularly seen in our onco-gynecologic department. Now, 40 months after the end of chemotherapy and 46 months after making the diagnosis, there are no signs of relapse.

Adenosarcoma uteri; Teenager; Case report

[1] Chaplain G., Guisenier J., Milan C., Janoray P., Collins F., Dechelotte D., Michiels-Marrais D. et al.: "Cancers du corps de I'uterus dans le department de la Cote-d'Or 1982-90". Bull. Cancer, Paris, Aug. 1994, 81 (8), 691.

[2] Bloch B., Dehaeck R., Soter、R.: "Manual of Practical Gynecological Oncology". Chapman and Hill, London, 1995, 198.

[3] Clement P. B., Scully R. E.: "Mullerian adenosarcoma of the uterus". Hum. Pathol., 1990, 21, 363.

[4] Bloom R., Guerrieri C.: "Adenosarcoma of the uterus". Int. J. Gynecol. Cancer, 1999, 9, 37.

[5] Jereczek B., Jassem J., Kobierska A.: "Sarcoma of the uterus". Arch. Gynecol. Obstet., 1996, 258 (4), 171.

[6] Marabini A., Gubbini G., De Jaco P., Stagnozzi R., Santini D.: "A case of suspected endometrial stromal sarcoma removed by operative hysteroscopy". Gynecol. Oneal., Dec. 1995, 59 (3), 409.

[7] Michalas S., Greatsas G., Deligeorogiou E., Markaki S.: "High grade endometrial stromal sarcoma in a 16-year-old girl". Gvnecol. Oncol., Aug. 1994, 54 (1), 95.

[8] Dewhurst J.: "Practical pediatric and adolescent gynecology" New York, Marcel Dekker, Inc. 1980, 272.

[9] Sanyal C.: "Stromal cell sarcoma of uterus in a teenage girl". J. Indian Med. Assoc., Nov. 1994, 92 (11), 391.