Abscess in Adenomyosis Mimicking a Malignancy in a 54-Year-Old Woman
| Autor: | Ayşe Kafkaslı, Rezzan Erguvan, Mehmet Mutlu Meydanli, Mehmet N. Edali, Alpay Alkan, Hasan Gökçe |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
Pathology
medicine.medical_specialty Ovariectomy Endometriosis Dermatology Hysterectomy Pelvic Pain Malignancy lcsh:Gynecology and obstetrics Endosonography lcsh:Infectious and parasitic diseases Diagnosis Differential Biopsy medicine Endometrial Polyp Humans Adenomyosis lcsh:RC109-216 Abscess lcsh:RG1-991 Uterine Diseases medicine.diagnostic_test business.industry Endometrial cancer Biopsy Needle Obstetrics and Gynecology Middle Aged medicine.disease Immunohistochemistry Endometrial hyperplasia Postmenopause Infectious Diseases Leiomyoma Female business Follow-Up Studies Research Article |
| Zdroj: | Infectious Diseases in Obstetrics and Gynecology, Vol 11, Iss 1, Pp 59-64 (2003) Infectious Diseases in Obstetrics and Gynecology |
| ISSN: | 1098-0997 1064-7449 |
| Popis: | Background: Although there are a few reports describing abscess formation in endometriotic foci no report of abscess formation arising de novo within adenomyosis appears in the literature. Preoperative diagnosis of adenomyosis is frequently difficult because of non-specific signs and symptoms. Synchronous pelvic pathologies such as leiomyoma, endometrial polyp, endometrial hyperplasia, as well as endometrial cancer may cause differential diagnostic problems. Case: A 54-year-old postmenopausal woman complaining of inguinal pain, nightsweats and hot flashes is presented. Radiologic examinations of the pelvis revealed a 95 × 85 mm leiomyoma-like lesion including a 53 × 43 mmcystic space and 9 × 6 mmpapillary formation within the uterus raising clinical suspicion of malignancy. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed accompanied by a frozen section diagnosis. The frozen section revealed an abscess formation arising in a focus of adenomyosis. The postoperative period of the patient was uneventful. Conclusion : The present case, to our knowledge, is the first report representing abscess formation in adenomyosis. Abscess arising within adenomyosis can strongly raise the suspicion of endometrial cancer, particularly if the patient is postmenopausal. If endometrial cancer cannot be ruled out with definitive histopathological diagnosis in the preoperative period, a frozen section becomes mandatory during surgical intervention. |
| Databáze: | OpenAIRE |
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