Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female: Report of a case

Sampson first reported a case of malignant transformation of endometriosis to adenocarcinoma in 1925. We present a case of such transformation occurring in a postmenopausal female 22 years after total abdominal hysterectomy and bilateral salpingo-oophorectomy. This case demonstrates histologic progr...

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Bibliographic Details
Published inDiseases of the colon & rectum Vol. 44; no. 10; pp. 1530 - 1533
Main Authors Magtibay, Paul M, Heppell, Jacques, Leslie, Kevin O
Format Journal Article
LanguageEnglish
Published Secaucus, NJ The ASCRS 01.10.2001
Springer
Subjects
Adenocarcinoma - pathology
Aged
Biological and medical sciences
Cell Transformation, Neoplastic
Endometriosis - pathology
Endometriosis - surgery
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Hysterectomy
Medical sciences
Neoplasm Invasiveness
Ovariectomy
Postmenopause
Rectal Neoplasms - pathology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Time Factors
Tumors
Adenocarcinoma
Human
Rectal disease
Endometriosis
Malignant tumor
Invasion
Female genital diseases
Case study
Malignant transformation
Rectum
Uterine diseases
Digestive diseases
Intestinal disease
Complication
Female
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Summary:Sampson first reported a case of malignant transformation of endometriosis to adenocarcinoma in 1925. We present a case of such transformation occurring in a postmenopausal female 22 years after total abdominal hysterectomy and bilateral salpingo-oophorectomy. This case demonstrates histologic progression from endometriosis to complex hyperplasia with cytologic atypia, and ultimately to invasive endometrioid adenocarcinoma involving the rectum. Aggressive surgical extirpation of all visible colorectal endometriosis for patients with advanced disease is recommended.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0012-3706
1530-0358
DOI:10.1007/BF02234612