Summary
The case of a patient with an endometrioid carcinoma arising in endometriosis of the rectum is presented. This lesion grossly appeared to be a carcinoma arising from the rectal mucosa until microscopic examination of the specimen was completed. The endometrial implant continued to grow and eventually degenerated into a carcinoma in spite of bilateral salpingo-oophorectomy. This was believed to be due to maintenance of the patient on diethyl-stilbestrol. This case is believed to be the ninth reported case of carcinoma arising in an endometrial implant in the colon or rectum.
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References
Bacon HE: Anus, Rectum, Sigmoid Colon: Diagnosis and Treatment. Ed. 3. Philadelphia, J. B. Lippincott, 1949, vol 2, 1127 pp
Bickenbach W: Karzinom im Spatum rectovaginale, wahrscheinlich ausbehend von einer endometroiden Wucherung (abstr). Zentralbl Gynaekol 57:1296, 1933
Diddle AW: Granulosa- and theca-cell ovarian tumors: Prognosis. Cancer 5:215, 1952
Dockerty MB, Pratt JH, Decker DG: Primary adenocarcinoma of the rectovaginal septum probably arising from endometriosis: Report of two cases. Cancer 7:893, 1954
Ferreira HP, Clayton SG: Three cases of malignant change in endometriosis, including two cases arising in the recto-vaginal septum. J Obstet Gynaecol Br Commonw 65:41, 1958
Gray LA: Endometriosis of the bowel: Role of bowel resection, superficial excision and oophorectomy in treatment. Ann Surg 177: 580, 1973
Kratzer GL, Salvati EP: Collective review of endometriosis of the colon. Am J Surg 90: 866, 1955
Reintoft I, Lange AP, Skipper A: Coincidence of granulosa-cell tumour of ovary and development of carcinoma in rectal endometriosis. Acta Obstet Gynecol Scand 53:185, 1974
Ridley JH: Primary adenocarcinoma in implant of endometriosis. Obstet Gynecol 27:261, 1966
Sampson JA: Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch Surg 10:1, 1925
Wood DA: Tumors of the intestine. Atlas of Tumor Pathology, Sect 6, Fasc 22. Washington, D.C., Armed Forces Institute of Pathology, 1967
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Lott, J.V., Rubin, R.J., Salvati, E.P. et al. Endometrioid carcinoma of the rectum arising in endometriosis: Report of a case. Dis Colon Rectum 21, 56–60 (1978). https://doi.org/10.1007/BF02586549
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DOI: https://doi.org/10.1007/BF02586549