التفاصيل البيبلوغرافية
| العنوان: |
Recurrent cervical adenofibroma progressing to adenosarcoma: a rare case report. |
| المؤلفون: |
Li Chen, Yugang Chi, Yanlin Chen |
| المصدر: |
Ginekologia Polska; 2024, Vol. 95 Issue 1, p4-7, 4p |
| مصطلحات موضوعية: |
SARCOMA, DIFFERENTIAL diagnosis, CERVICAL cancer, CANCER relapse, CANCER invasiveness, IMMUNOHISTOCHEMISTRY |
| مستخلص: |
Objectives: Cervical adenofibroma is a rare form of mixed mesodermal tumor that can present as cervical polyps with a tendency for local recurrence and progression. Few cases progressing to adenosarcoma have previously been reported. We report a case of cervical adenofibroma progressing to adenosarcoma, and we seek to remind clinicians of the method and importance of the differential diagnosis of this disease. Material and methods: A fertile woman was admitted in our department for the eighth recurrence of a cervical polypoidal mass which for the past 10 years. Recurrence of cervical adenofibroma was confirmed by ultrasound and MRI. A wide local excision under hysteroscopy was performed due to her strong desire to preserve the uterus. Results: Surgical pathology and immunohistochemical interpretation revealed cervical adenosarcoma. A hysterectomy with conservation of the ovaries was recommended, with regular follow-ups for evidence of disease recurrence. Conclusions: Differential diagnoses of cervical adenofibroma are hard to prove. Adenosarcoma should be ruled out, especially in women presenting with recurrent cervical polypoidal masses. A combined histological/immunohistochemical investigation is mandatory. [ABSTRACT FROM AUTHOR] |
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