Malignant Transformation of Endometriosis in the Ischioanal Fossa

We present the case of a 28-year-old nulliparous female with malignant transformation of an ectopic focus of endometriosis in the right ischioanal fossa. A 28-year-old nulliparous patient with a past medical history of polycystic ovarian syndrome (PCOS) was diagnosed with endometrioid adenocarcinoma...

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Main Authors: Jordan S. Klebanoff, Shivani K. Shah, Mark G. Cadungog
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2018/5643040
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author Jordan S. Klebanoff
Shivani K. Shah
Mark G. Cadungog
author_facet Jordan S. Klebanoff
Shivani K. Shah
Mark G. Cadungog
author_sort Jordan S. Klebanoff
collection DOAJ
description We present the case of a 28-year-old nulliparous female with malignant transformation of an ectopic focus of endometriosis in the right ischioanal fossa. A 28-year-old nulliparous patient with a past medical history of polycystic ovarian syndrome (PCOS) was diagnosed with endometrioid adenocarcinoma in her right ischioanal fossa. Initially, patient presented to an emergency department and underwent a CT scan of the appendix to rule out appendicitis. A multiloculated cystic lesion adjacent to the right obturator internus muscle was found. She underwent surgical resection of the mass, which confirmed FIGO grade 2 endometrioid adenocarcinoma, followed by localized radiation therapy. Malignancy arising in endometriosis is rare, and the influence of PCOS on the rate of malignant transformation is not well established.
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spelling doaj-art-1866fc55a87f4d269d3af77d968da2ae2025-02-03T06:15:12ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/56430405643040Malignant Transformation of Endometriosis in the Ischioanal FossaJordan S. Klebanoff0Shivani K. Shah1Mark G. Cadungog2Department of Obstetrics & Gynecology, Christiana Care Health System, Newark, DE, USADepartment of Obstetrics & Gynecology, Christiana Care Health System, Newark, DE, USADivision of Gynecologic Oncology, Christiana Care Health System, Newark, DE, USAWe present the case of a 28-year-old nulliparous female with malignant transformation of an ectopic focus of endometriosis in the right ischioanal fossa. A 28-year-old nulliparous patient with a past medical history of polycystic ovarian syndrome (PCOS) was diagnosed with endometrioid adenocarcinoma in her right ischioanal fossa. Initially, patient presented to an emergency department and underwent a CT scan of the appendix to rule out appendicitis. A multiloculated cystic lesion adjacent to the right obturator internus muscle was found. She underwent surgical resection of the mass, which confirmed FIGO grade 2 endometrioid adenocarcinoma, followed by localized radiation therapy. Malignancy arising in endometriosis is rare, and the influence of PCOS on the rate of malignant transformation is not well established.http://dx.doi.org/10.1155/2018/5643040
spellingShingle Jordan S. Klebanoff
Shivani K. Shah
Mark G. Cadungog
Malignant Transformation of Endometriosis in the Ischioanal Fossa
Case Reports in Obstetrics and Gynecology
title Malignant Transformation of Endometriosis in the Ischioanal Fossa
title_full Malignant Transformation of Endometriosis in the Ischioanal Fossa
title_fullStr Malignant Transformation of Endometriosis in the Ischioanal Fossa
title_full_unstemmed Malignant Transformation of Endometriosis in the Ischioanal Fossa
title_short Malignant Transformation of Endometriosis in the Ischioanal Fossa
title_sort malignant transformation of endometriosis in the ischioanal fossa
url http://dx.doi.org/10.1155/2018/5643040
work_keys_str_mv AT jordansklebanoff malignanttransformationofendometriosisintheischioanalfossa
AT shivanikshah malignanttransformationofendometriosisintheischioanalfossa
AT markgcadungog malignanttransformationofendometriosisintheischioanalfossa