A Case of Adenosarcoma of the Uterus

Adenosarcoma is a rare tumor which consists of benign glandular epithelium and malignant mesenchymal component. Here we report a case of adenosarcoma of the uterine corpus. Case Presentation. A 59-year-old woman presented with vaginal bleeding and visited a local clinic. She had a uterine tumor poin...

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Main Authors: Shigeki Taga, Mari Sawada, Aya Nagai, Dan Yamamoto, Ryoji Hayase
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/342187
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author Shigeki Taga
Mari Sawada
Aya Nagai
Dan Yamamoto
Ryoji Hayase
author_facet Shigeki Taga
Mari Sawada
Aya Nagai
Dan Yamamoto
Ryoji Hayase
author_sort Shigeki Taga
collection DOAJ
description Adenosarcoma is a rare tumor which consists of benign glandular epithelium and malignant mesenchymal component. Here we report a case of adenosarcoma of the uterine corpus. Case Presentation. A 59-year-old woman presented with vaginal bleeding and visited a local clinic. She had a uterine tumor pointed out and was referred to our hospital. Ultrasound scans revealed a large heterogeneous mass occupying the whole uterine cavity. Cytological test of endometrium was performed but the result was negative. A fractional endometrial curettage revealed no malignancy. Magnetic resonance imaging (MRI) revealed a heterogeneous solid tumor of 77 × 76 mm. Total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed. On gross examination, the tumor was arising from the uterine body and occupied the whole uterine cavity. Histopathological examination revealed phyllodes-like architecture on low magnification and periglandular cuffing of tumor cells. The lesion was confined to the uterus. Histopathological final diagnosis was adenosarcoma. Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.
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spelling doaj-art-c5a53b597cfb43139d41a00f3220c8a12025-02-03T05:46:41ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/342187342187A Case of Adenosarcoma of the UterusShigeki Taga0Mari Sawada1Aya Nagai2Dan Yamamoto3Ryoji Hayase4Department of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, JapanDepartment of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, JapanDepartment of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, JapanDepartment of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, JapanDepartment of Obstetrics and Gynecology, National Hospital Organization Fukuyama Medical Center, Okinogamicho 4-14-17, Fukuyama 720-0825, JapanAdenosarcoma is a rare tumor which consists of benign glandular epithelium and malignant mesenchymal component. Here we report a case of adenosarcoma of the uterine corpus. Case Presentation. A 59-year-old woman presented with vaginal bleeding and visited a local clinic. She had a uterine tumor pointed out and was referred to our hospital. Ultrasound scans revealed a large heterogeneous mass occupying the whole uterine cavity. Cytological test of endometrium was performed but the result was negative. A fractional endometrial curettage revealed no malignancy. Magnetic resonance imaging (MRI) revealed a heterogeneous solid tumor of 77 × 76 mm. Total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy was performed. On gross examination, the tumor was arising from the uterine body and occupied the whole uterine cavity. Histopathological examination revealed phyllodes-like architecture on low magnification and periglandular cuffing of tumor cells. The lesion was confined to the uterus. Histopathological final diagnosis was adenosarcoma. Her postoperative course was uneventful and she was discharged without postoperative treatment and remains alive without disease 6 months after the surgery.http://dx.doi.org/10.1155/2014/342187
spellingShingle Shigeki Taga
Mari Sawada
Aya Nagai
Dan Yamamoto
Ryoji Hayase
A Case of Adenosarcoma of the Uterus
Case Reports in Obstetrics and Gynecology
title A Case of Adenosarcoma of the Uterus
title_full A Case of Adenosarcoma of the Uterus
title_fullStr A Case of Adenosarcoma of the Uterus
title_full_unstemmed A Case of Adenosarcoma of the Uterus
title_short A Case of Adenosarcoma of the Uterus
title_sort case of adenosarcoma of the uterus
url http://dx.doi.org/10.1155/2014/342187
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