Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report

Objective. Endometriotic tissue implants rarely transform to malignant tissue, especially in a patient with a hysterectomy and bilaterally salpingo-oophorectomy. However, several cases with cancer arising from endometriosis after hysterectomy were reported in the literature. Hormone replacement ther...

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Autores principales: Orkun Ilgen, Sefa Kurt, Deniz Gokcay, Emine Cagnur Ulukus
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Lenguaje:EN
Publicado: Digital ProScholar Media 2021
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spelling oai:doaj.org-article:4fc6bd2dae7e496e81549f69cc7053eb2021-11-23T16:55:07ZMalignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report10.25083/2559.5555/6.2.132559-5555https://doaj.org/article/4fc6bd2dae7e496e81549f69cc7053eb2021-11-01T00:00:00Zhttps://www.e-repository.org/jcis/6/2/13.pdfhttps://doaj.org/toc/2559-5555Objective. Endometriotic tissue implants rarely transform to malignant tissue, especially in a patient with a hysterectomy and bilaterally salpingo-oophorectomy. However, several cases with cancer arising from endometriosis after hysterectomy were reported in the literature. Hormone replacement therapy only with estrogen is a crucial risk factor for malignant transformation of persistent endometriotic tissue. Case Report. The present case demonstrates an endometrioid adenocarcinoma arising from persistent endometriosis tissue in a patient who was performed hysterectomy with bilateral salpingectomy 3 years ago. The histopathologic specimens of the previous surgery did not include any malignant tissue. After 3 years, she applied to the hospital with abnormal vaginal bleeding, and her histopathologic examination result found an ulcerated mass at the upper one-third of the vagina that is compatible with endometrioid adenocarcinoma. Conclusion. It is crucial to keep in mind the endometriosis history of the patient, to be able to diagnose cancer arising from endometriosis while evaluating the patient with a hysterectomy.Orkun IlgenSefa KurtDeniz GokcayEmine Cagnur UlukusDigital ProScholar Mediaarticlemalignant transformationendometriosisvaginal cuffhysterectomyextragonadal focusMedicineRENJournal of Clinical and Investigative Surgery, Vol 6, Iss 2, Pp 161-165 (2021)
institution DOAJ
collection DOAJ
language EN
topic malignant transformation
endometriosis
vaginal cuff
hysterectomy
extragonadal focus
Medicine
R
spellingShingle malignant transformation
endometriosis
vaginal cuff
hysterectomy
extragonadal focus
Medicine
R
Orkun Ilgen
Sefa Kurt
Deniz Gokcay
Emine Cagnur Ulukus
Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
description Objective. Endometriotic tissue implants rarely transform to malignant tissue, especially in a patient with a hysterectomy and bilaterally salpingo-oophorectomy. However, several cases with cancer arising from endometriosis after hysterectomy were reported in the literature. Hormone replacement therapy only with estrogen is a crucial risk factor for malignant transformation of persistent endometriotic tissue. Case Report. The present case demonstrates an endometrioid adenocarcinoma arising from persistent endometriosis tissue in a patient who was performed hysterectomy with bilateral salpingectomy 3 years ago. The histopathologic specimens of the previous surgery did not include any malignant tissue. After 3 years, she applied to the hospital with abnormal vaginal bleeding, and her histopathologic examination result found an ulcerated mass at the upper one-third of the vagina that is compatible with endometrioid adenocarcinoma. Conclusion. It is crucial to keep in mind the endometriosis history of the patient, to be able to diagnose cancer arising from endometriosis while evaluating the patient with a hysterectomy.
format article
author Orkun Ilgen
Sefa Kurt
Deniz Gokcay
Emine Cagnur Ulukus
author_facet Orkun Ilgen
Sefa Kurt
Deniz Gokcay
Emine Cagnur Ulukus
author_sort Orkun Ilgen
title Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
title_short Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
title_full Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
title_fullStr Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
title_full_unstemmed Malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
title_sort malignant transformation of endometriosis on vaginal cuff after hysterectomy: a case report
publisher Digital ProScholar Media
publishDate 2021
url https://doaj.org/article/4fc6bd2dae7e496e81549f69cc7053eb
work_keys_str_mv AT orkunilgen malignanttransformationofendometriosisonvaginalcuffafterhysterectomyacasereport
AT sefakurt malignanttransformationofendometriosisonvaginalcuffafterhysterectomyacasereport
AT denizgokcay malignanttransformationofendometriosisonvaginalcuffafterhysterectomyacasereport
AT eminecagnurulukus malignanttransformationofendometriosisonvaginalcuffafterhysterectomyacasereport
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