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Serous endometrial intraepithelial carcinoma: a case report
Younesse Najioui1, Nassia Karich1, Anas Haloui1
1Department of Pathology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University of Oujda, Oujda, Morocco.
The Pan African Medical Journal
|June 5, 2023
Summary
Serous endometrial intraepithelial carcinoma (SEIC) is a rare uterine cancer. Early diagnosis and exploration for metastatic disease are crucial for effective treatment of this aggressive condition.
Area of Science:
- Gynecologic Oncology
- Pathology
- Oncology
Background:
- Serous endometrial intraepithelial carcinoma (SEIC) is an uncommon and aggressive form of uterine cancer.
- Post-menopausal women presenting with vaginal bleeding and pelvic pain may indicate underlying gynecologic malignancies.
Observation:
- Two post-menopausal patients, aged 58, presented with significant vaginal bleeding and pelvic pain.
- One patient had a history of hysteroscopy for an endocervical polyp; the other had a history of breast cancer treatment.
Findings:
- Abdominal hysterectomy was performed on both patients.
- Pathological assessment confirmed serous endometrial intraepithelial carcinoma in both cases.
Implications:
- Diagnosing SEIC necessitates a thorough investigation of the entire genital tract for metastatic disease.
- Prompt and comprehensive staging is vital for SEIC patient management and prognosis.

