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Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female

Report of a case

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Diseases of the Colon & Rectum

Abstract

Sampson first reported a case of malignant transformation of endometriosis to adenocarcinoma in 1925. We present a case of such transformation occurring in a postmenopausal female 22 years after total abdominal hysterectomy and bilateral salpingo-oophorectomy. This case demonstrates histologic progression from endometriosis to complex hyperplasia with cytologic atypia, and ultimately to invasive endometrioid adenocarcinoma involving the rectum. Aggressive surgical extirpation of all visible colorectal endometriosis for patients with advanced disease is recommended.

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References

  1. Sampson JA. Endometrial carcinoma of the ovary, arising in endometrial tissue in that organ. Arch Surg 1925;10:1–72.

    Google Scholar 

  2. Punnonen R, Klemi PJ, Nikkanen V. Postmenopausal endometriosis. Eur J Obstet Gynecol Reprod Biol 1980;11:195–200.

    PubMed  Google Scholar 

  3. Henriksen E. Endometriosis. Am J Surg 1955;90:331–7.

    PubMed  Google Scholar 

  4. Ranny B. Endometriosis III: complete operations: reasons, sequelae, treatment. Am J Obstet Gynecol 1971;109:1137–44.

    PubMed  Google Scholar 

  5. Heaps JM, Nieberg RK, Berek JS. Malignant neoplasms arising in endometriosis. Obstet Gynecol 1990;75:1023–8.

    PubMed  Google Scholar 

  6. Kurman RJ, Kaminski PF, Norris HJ. The behavior of endometrial hyperplasia: a long-term study of “untreated” hyperplasia in 170 patients. Cancer 1985;56:403–12.

    PubMed  Google Scholar 

  7. Droegemueller W, Herbst AL, Mishell DR, Stenchever MA. Comprehensive gynecology. St. Louis: Mosby, 1987:953–64.

    Google Scholar 

  8. Bailey HR, Ott MT, Hartendorp P. Aggressive surgical management for advanced colorectal endometriosis. Dis Colon Rectum 1994;37:747–53.

    PubMed  Google Scholar 

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Magtibay, P.M., Heppell, J. & Leslie, K.O. Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female. Dis Colon Rectum 44, 1530–1533 (2001). https://doi.org/10.1007/BF02234612

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  • DOI: https://doi.org/10.1007/BF02234612

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