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Primary endometrioid adenocarcinoma with coexisting endometrial tuberculosis. A case report
Uğur Saygili1, Serkan Guclu, Sabahattin Altunyurt
1Departments of Obstetrics and Gynecology and of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey. saygiliu@hotmail.com
Background:
The most important cause of postmenopausal bleeding is endometrial cancer, whereas genital tuberculosis is uncommon in this age group. The association of these two disorders is extremely rare.
Case:
Endometrial curettings performed on a 63-year-old woman with a bloody vaginal discharge and thickened endometrium disclosed complex atypical hyperplasia and granulomatous inflammation with caseation necrosis. The uterus contained a well-differentiated endometrial adenocarcinoma with squamous differentiation invading about one-half the myometrial thickness and granulomatous inflammation with caseation necrosis. The lymph nodes were free of disease.
Conclusion:
Although the coexistence of endometrial cancer and tuberculosis is extremely rare, it may occur in patients who live in the regions with a high prevalence of tuberculosis.