Uterine Cervical Adenosarcoma Showing an Endophytic Growth Pattern

Area of Science:

• Gynecologic Oncology
• Pathology
• Surgical Oncology

Background:

• Adenosarcomas are biphasic tumors with benign epithelial and malignant stromal components, typically found in the uterine corpus.
• Uterine adenosarcomas often present with abnormal genital bleeding and an enlarged uterus, sometimes protruding into the endometrial cavity.
• Cervical adenosarcomas are rare and can be misdiagnosed as cervical polyps due to protrusion through the cervical os.

Observation:

• This report details a unique case of cervical adenosarcoma exhibiting endophytic growth, a rare presentation.
• The patient presented with minimal symptoms, including only one instance of faint brown discharge six months prior to diagnosis.
• Despite the tumor measuring 4 cm, significant genital bleeding or watery discharge was absent.

Findings:

• The cervical adenosarcoma demonstrated atypical endophytic growth, diverging from the usual exophytic patterns observed in similar tumors.
• The clinical presentation was atypical, lacking the common signs of abnormal genital bleeding associated with uterine and cervical adenosarcomas.
• Diagnostic challenges were present due to the tumor's endophytic nature and subtle symptomatology.

Implications:

• This case underscores the importance of considering adenosarcoma in the differential diagnosis of cervical masses, even with atypical presentations.
• Recognizing rare growth patterns like endophytic growth is crucial for accurate diagnosis and appropriate management of cervical adenosarcomas.
• Further research into the diverse clinical and pathological presentations of cervical adenosarcomas may improve diagnostic accuracy and patient outcomes.