Article Data

  • Views 231
  • Dowloads 149

Case Reports

Open Access

Uterine adenosarcoma diagnosed following hysteroscopic resection of an intrauterine tumour

  • E. Gonzalez Bosquet1,*,
  • M. Sunol2
  • J. Callejo1
  • J.M. Lailla1

1Department of Gynecology Surgery/Gynecologic Oncology, Spain

2Pathology, Hospital Universitari Sant Joan de Deu,Barcelona, Spain

DOI: 10.12892/ejgo200504415 Vol.26,Issue 4,July 2005 pp.415-417

Published: 10 July 2005

*Corresponding Author(s): E. Gonzalez Bosquet E-mail:

Abstract

Uterine adenosarcoma is a mixed müllerian tumour consisting of a benign epithelial component and a malignant stromal component. It is a rare tumour that represents 8% of uterine sarcomas. We present a case of a 61-year-old woman who underwent a surgical hysteroscopy for postmenopausal metrorrhagia and thickened endometrium detected by ultrasonography. The pathologic diagnosis of the tumour removed by hysteroscopy was uterine adenosarcoma. The description of this case provides an opportunity to review the literature on uterine sarcomas diagnosed by surgical hysteroscopy.

Keywords

Uterine sarcoma; Surgical hysteroscopy; Adenosarcoma

Cite and Share

E. Gonzalez Bosquet,M. Sunol,J. Callejo,J.M. Lailla. Uterine adenosarcoma diagnosed following hysteroscopic resection of an intrauterine tumour. European Journal of Gynaecological Oncology. 2005. 26(4);415-417.

References

[1] Jou Collell P., Gonzalez Bosquet E., Rovirosa Casino A.: "Sarcomas y tumores miillerianos mixtos malignos del utero". En: Gonzalez-Merlo J. y Gonzalez Bosquet J. "Ginecologfa Oncol6gica", 2'edici6n, Barcelona, Barcelona Masson, 2000, 283.

[2] Mattingly R.F., Thompson J.D. (eds.). Telinde's Operative Gynecology, 6th ed., Philadelphia, J.B. Lippincott, 1985, 205.

[3] Droegemueller W., Herbst A.L., Mishell D.R., Stenchever M.A. (eds.). Comprehensive gynecology. St. Louis, C.V. Mosby, 1987, 464.

[4] Gonzalez-Merlo J., Marquez M.: "Patologfa de! endometrio". Barcelona, Cientifico-Medica, 1972.

[5] Leibsohn S.,D 'Ablaing,M ishell D.R.,S chlaerth J.B.: "Leiomyosarcoma in a series of hysterectomies perfom记d for presumed uterine leiomyomas". Am. J. Obstet. Gynecol., 1990, 162, 968.

[6] Indmann P.: "Hysteroscopic treatment of menorrhagia associated with uterine leiomyomas". Obstet. Gynecol., 1993, 81, 7117.

[7] Romer T.: "The benefit of GnRH-analogue pretreatment for hysteroscopic surgery in patients with bleeding disorders". Gynecol. Obstet. Invest., 1998, 45, 12.

[8] Clemant P.B., Scully R.E.: "Miillerian adenosarcoma of the uterus. A clinicopathological analysis of ten cases of a distinctive type of miillerian mixed tumor". Cancer, 1974, 34, 1138.

[9] Kerner H., Lichtig C.: "Miillerian adenosarcoma presenting as cervical polyps; a report of seven cases and review of literature". Obstet. Gynecol., 1993, 81, 655.

[10] Verscharaegen C.F., Vasuratna A., Edwards C., Freedman R., Kudelka A.P., Tomos C.: "Clinicopathologic analysis of mullerian adenosarcoma: the M.D. Anderson Cancer Center experience". Oncol. Rep., 1998, 5, 939.

[11] Clement P.B., Scully R.E.: "Miillerian adenosarcoma of the uterus. A clinicopathological analysis of 100 cases with a review of the literature". Human. Pathology, 1990, 21, 363.

[12] Gonzalez Bosquet E., Martfnez-Palones J.M., Gonzalez Bosquet J., Garcia Jimenez A., Xercavins J.: "Uterine sarcoma: A clinicopathological study of 93 cases". Eur. J. Gynaecol. Oncol., 1997, 18, 192.

[13] Nasri M.N., Coast G.J.: "Correlation of ultrasound findings and endometrial histopathology in postmenopausal women". Br. J. Obstet. Gynecol., 1989, 96, 1333.

[14] Fleischer A.C., Kalemeris G.C., Mackin J.E., Entrnan S.S., James A.E.: "Sonographic depiction of normal and abnormal endometrium with histopathic correlation". J. Ultrasound Med., 1986, 5, 445.

[15] Valle R.F., Baggish M.S.: "Endometrial carcinoma after endometrial ablation: High-risk factors predicting its occurrence". Am. J. Obstet. Gynecol., 1998, 179, 569.

[16] Corson S.L., Brooks P.G.: "Resectoscopy myomectomy". Fertil Steril., 1991, 55, 1041.

[17] Reed H., Callen P.J.: "Myometrial leiomyosarcoma following transcervical resection of the endometrium". Gynaecol. Endosc., 1996, 5, 49.

[18] Flam F., Radestad A.: "Endomemtrial stromal sarcoma diagnosed by operative hysteroscopy". Hum. Re prod., 1996, 11, 2797.

[19] Marabini A., Gubbini G., De Jaco y cols:''A case of unsuspected endometrial stromal sarcoma removed by operative hysteroscopy". Gynecol. Oneal., 1995, 59, 409.

[20] Volos G.A., Harding P.G., Sugimoto A.K., Ettler H.C., Bernier M.J.: "Hysteroscopic endomyometrial resection of three uterine sarcomas". J. Am. Assoc. Gynecol. Laparosc., 2001, 8, 545.

[21] Sinervo K., Martyn P.: "Endometrial stromal sarcoma diagnosed after hysteroscopic endometrial resection". J. Am. Assoc. Gynecol. Laparosc., 2000, 7, 257.

[22] Vilos G.A., Vilos E.C., King J.H.: "Experience with 800 hysteroscopic endometrial ablations". J. Am. Assoc. Gynecol. Laparosc., 1996, 4, 33.

[23] Romer T., Schwesinger G.: "Chance finding of a leiomyosarcoma in hysteroscopic resection of a myoma". Acta Obstet. Gynecol. Scand., 2002, 81, 1078.

[24] Morice P., Rodriguez A., Rey P., Pautier P., Atallah D., Genestie C. et al.: "Prognostic value of initial surgical procedure for patients with uterine sarcoma: analysis of 123 patients". Eur. J. Gynecol. Oneal., 2003, 24, 237.

[25] Suzuki A., Tahara H., Okamura H.: "Hysteroscopic diagnosis of malignant mixed miillerian tumor of the corpus uteri". Gynecol. Oncol., 1983, 15, 350.

[26] Park H.M., Park M.H., Kim Y.J., Chun S.H., Ahn J.J., Kim C.I.: "Mullerian adenosarcoma with sarcomatous overgrowth of the cervix presenting as cervical polyp: a case report and review of the literature". Int. J. Gynecol. Cancer, 2004, 14, 102.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top