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Endometrial carcinoma presenting as hematometra: Clinicopathological study of a rare case and literature review

  • N. Salakos1,*,
  • K. Bakalianou1
  • E. Deligeoroglou1
  • A. Kondi-Pafiti2
  • K. Papadias1
  • G. Creatsas1

12nd Department of Obstetrics and Gynecology, Greece

2Pathology Department Aretaieion University Hospital, Medical School, University of Athens, Greece

DOI: 10.12892/ejgo200703239 Vol.28,Issue 3,May 2007 pp.239-240

Published: 10 May 2007

*Corresponding Author(s): N. Salakos E-mail:

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Abstract

A case of a postmenopausal woman who was investigated for a large cystic peritoneal tumor which turned out to be hematometra is presented. From her clinical history, a wide excision of the uterine cervix was reported due to a high-grade intraepithelial squamous neoplasia. Laparotomy showed a greatly enlarged uterus and the histological exam revealed a hematometra with a superficial endometrioid adenocarcinoma of the uterine cavity. The remaining cervix had extensive fibrosis and complete obliteration of the cervical canal. A review of the literature revealed that hematometra in postmenopausal women should be investigated because it may harbor a cancer.

Keywords

Adenocarcinoma; Uterine cancer; Hematometra

Cite and Share

N. Salakos,K. Bakalianou,E. Deligeoroglou,A. Kondi-Pafiti,K. Papadias,G. Creatsas. Endometrial carcinoma presenting as hematometra: Clinicopathological study of a rare case and literature review. European Journal of Gynaecological Oncology. 2007. 28(3);239-240.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200703239

References

[1] Blaustein's Pathology of the Female Genital Tract, 7'" edition, RJ Kurman (ed.), New York, Springer-Verlag, 2004.

[2] Sato N., Tsunoda H., Oki A., Shigemitsu S., Sasaki., Nishida M., Kubo T.: "Endometrial carcinoma occurred after irradiation therapy for squamous cell carcinoma of the uterine cervix". Nippon Sanka Fujinka Gakkai Zasshi, 1995, 47, 75.

[31 Wu M.P., Wu C.C., Chang F.M., Yen E.Y., Hsieh M.F., Chao M.H "Endometrial carcinoma presenting as hematometra mimicking a large pelvic cyst". J. Clin. Ultrasound, I 999, 27, 5 41.

[4] Carlson J.A., Arger P., Thompson S. et al.: "Clinical and pathologic correlation of endometrial cavity fluid defected by ultrasound in the postmenopausal patient". Obstet. Gynecol., 1991, 77, 119.

[5] Breckenridge J.W., Kurtz A.B., Ritchie W.E. et al.: "Postmenopausal uterine fluid collection: indicator of carcinoma". Am. J Roentgenol., 1982, 139, 5 29.

[6] Scheerer L.J., Bartolucci L.: "Transvaginal sonography in the evaluation of hematometra. A report of two cases". J. Reprod. Med., 1996,41, 20 5.

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