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Adenosarcoma arising in inguinal endometriosis
Michael R Milam1, James B Atkinson, John L Currie
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Vanderbilt University, Nashville, TN, USA. mrmilam@mdanderson.org
Background:
Adenosarcoma arising in inguinal endometriosis is a rare clinical entity.
Case:
A 47-year-old nulligravida presented with a persistent and enlarged right groin mass. Sixteen years earlier she had undergone total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis and was placed on estrogen therapy. Surgical en bloc excision of the 12 x 4 cm inguinal mass revealed adenosarcoma arising in endometriosis.
Conclusion:
Although a rare entity, adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for those patients with a history of endometriosis and chronic unopposed estrogen therapy who present with a groin mass.