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Endometrial adenosarcoma with pelvic involvement following uterine perforation
Diagnostic Gynecology and Obstetrics
|January 1, 1981
Summary
Recurrent uterine adenosarcoma can implant through uterine perforations, forming serosal masses. This case highlights the risk of tumor spread following procedures like curettage.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
Background:
- Uterine adenosarcoma is a rare malignant Müllerian tumor.
- Recurrence is common, particularly after incomplete excision.
Observation:
- An 85-year-old woman with a history of uterine adenosarcoma developed a pelvic mass after uterine perforation during curettage.
- The mass was attached to the uterine serosa and histologically identical to the primary endometrial lesions.
Findings:
- This represents the first reported case of adenosarcoma implantation on the uterine serosa following myometrial perforation.
- The pelvic neoplasm likely resulted from tumor cell seeding through the iatrogenic myometrial defect.
Implications:
- Highlights the potential for adenosarcoma to implant on serosal surfaces after uterine perforation.
- Underscores the importance of careful surgical technique and consideration of tumor spread in managing uterine adenosarcoma.