The multistep process of vaginal cancer arising from deep infiltrating endometriosis: a case report
| Autor: | Kyoung Ah Kim, Seung Hun Song, Gwangil Kim, Woo Ram Kim, Jee Hyun Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Vaginal Neoplasms Endometriosis Case Report Endometriosis-associated complex hyperplasia Hysterectomy Malignant transformation Endometriosis-associated endometrioid cancer Synchronous endometrial cancer 03 medical and health sciences 0302 clinical medicine medicine Humans Vaginal bleeding Radical Hysterectomy Vaginal cancer 030219 obstetrics & reproductive medicine business.industry Endometrial cancer Obstetrics and Gynecology Cancer Gynecology and obstetrics General Medicine medicine.disease Vaginal cancer originating from endometriosis Endometrial Neoplasms medicine.anatomical_structure Reproductive Medicine 030220 oncology & carcinogenesis Deep infiltrating endometriosis RG1-991 Vaginal fornix Female Laparoscopy Radiology Public aspects of medicine RA1-1270 medicine.symptom business |
| Zdroj: | BMC Women's Health BMC Women's Health, Vol 21, Iss 1, Pp 1-6 (2021) |
| ISSN: | 1472-6874 |
| Popis: | Background Malignant transformation of endometriosis in extraovarian sites remains rare. Furthermore, the process is not definitely understood. Case presentation Herein, we report the case of a 40-year-old premenopausal nulligravida woman who presented with vaginal bleeding and who was finally diagnosed with a vaginal cancer originating from endometriosis and with a synchronous endometrial cancer. A gynecologic examination revealed a multiple polypoid mass on the posterior vaginal fornix. Magnetic Resonance Imaging of the pelvis showed two masses abutting respectively on the anterior uterine wall, and in the rectovaginal septum. The patient underwent a total laparoscopic excision of the rectovaginal mass, radical hysterectomy and low anterior resection of the rectum. The lesions were diagnosed as endometriosis, endometriosis-associated complex hyperplasia and endometrioid cancer. Furthermore, a synchronous endometrioid endometrial cancer was reported. Conclusions This case revealed the multistep process of malignant transformation of deep infiltrating endometriosis. The progression was individualized between implantation sites and in the same organ. |
| Databáze: | OpenAIRE |
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