Journal of International Obstetrics and Gynecology ›› 2022, Vol. 49 ›› Issue (6): 640-643.doi: 10.12280/gjfckx.20220282

• Research on Gynecological Malignancies: Case Report • Previous Articles     Next Articles

Endometrial Carcinoma with Adenomyosis Malignant Transformation: A Case Report and Literature Review

LI Xia, LIU Shi-kai()   

  1. Department of Gynecology, Cangzhou Central Hospital, Cangzhou 061000, Hebei Province, China
  • Received:2022-04-18 Published:2022-12-15 Online:2023-01-11
  • Contact: LIU Shi-kai E-mail:commasll@163.com

Abstract:

Endometrial cancer complicated with adenomyosis canceration is a rare disease with no specific clinical manifestations. The diagnosis is mostly determined by postoperative pathology, and its treatment is mostly based on the treatment principles of endometrial cancer. The prognosis is still unclear. We report a 57-year-old woman who presented for postmenopausal vaginal bleeding. Color Doppler ultrasound suggested adenomyosis with endometrium thickness of 9 mm, and curettage pathology suggested endometrioid adenocarcinoma. Further comprehensive staging of endometrial cancer was performed. Postoperative pathology revealed endometrial adenocarcinoma with adenomyosis canceration. The patient was diagnosed as stage Ⅰa endometrial cancer complicated with adenomyosis malignant transformation. Regular follow-up showed no recurrence at present.

Key words: Endometrial neoplasms, Adenomyosis, Therapy, Prognosis, Case reports