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Uterine Undifferentiated Sarcoma Associated with Primary Adenocarcinoid of Ileum: an Unusual Second Primary Malignancy with Therapeutic Implications

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Indian Journal of Gynecologic Oncology Aims and scope Submit manuscript

Abstract

Purpose

Uterine sarcomas and small bowel neuroendocrine tumours are both uncommon neoplasms. We report the case of a patient affected by an undifferentiated uterine sarcoma and synchronous adenocarcinoid of the ileum, in which surgery played a key role.

Methods

A 57-year-old postmenopausal woman presented with a 6-month history of pelvic pain and uterine bleeding. Examination revealed a polypoid mass of 15 mm in diameter protruding from external os. Abdomino-pelvic MRI identified another solid nodule of 20 mm in diameter in the ileal wall.

Results

Histology demonstrated an undifferentiated uterine sarcoma. However, the ileal nodule proved to be an adenocarcinoid and not a metastatic deposit of the uterine malignancy.

Conclusions

Histological evaluation of uncertain lesions may help in providing appropriate treatment and hence, a better survival.

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Authors and Affiliations

  1. Department of Radiological, Oncological and Anatomic Pathology Sciences, University of Rome “Sapienza”, Viale Regina Elena, 324 – 00161, Rome, Italy

    Irene Pecorella & Gaia Ciardi

  2. Department of Gynecological and Urological Science, University of Rome “Sapienza”, Viale Regina Elena, 324 – 00161, Rome, Italy

    Pierangelo Faiano, Terenzio Boni & PierLuigi Benedetti Panici

Authors
  1. Irene Pecorella
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  2. Pierangelo Faiano
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  3. Gaia Ciardi
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  4. Terenzio Boni
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  5. PierLuigi Benedetti Panici
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Corresponding author

Correspondence to Irene Pecorella.

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All the Authors deny any financial competing interest in this manuscript.

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Pecorella, I., Faiano, P., Ciardi, G. et al. Uterine Undifferentiated Sarcoma Associated with Primary Adenocarcinoid of Ileum: an Unusual Second Primary Malignancy with Therapeutic Implications. Indian J Gynecol Oncolog 13, 12 (2015). https://doi.org/10.1007/s40944-015-0019-z

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  • DOI: https://doi.org/10.1007/s40944-015-0019-z

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