Endometrioid Adenocarcinoma after Atypical Rectosigmoid Endometriosis – A Case Report

Neto JN, Pinto LEV, Schiavini KLM, Vieira CO, Ribeiro KHM, de Melo GSF, Lima JCO, Silva LC, de Sousa Gomes LMR and da Cunha Leal P

Hospital São Domingos, Oncology Service, São Luis (MA), Brazil
Department of Medicine, University Federal of Maranhão, São Luis (MA), Brazil

^*Correspondance to: João Nogueira Neto 

 PDF  Full Text DOI: 10.25107/2474-1647.3721

Abstract

Introduction: Malignant transformation of endometriosis is rare; however, studies have shown a correlation between endometriosis and some types of cancer.
Clinical Case: A case involving a 42-year-old primiparous patient with a metastatic intestinal endometrioid adenocarcinoma diagnosed due to a hemorrhagic acute abdomen surgery. This patient had a history of previous conservative surgery for leiomyomata, adenomyosis and endometriosis 2 years before, and 38 weeks delivery a year before this endometrioid adenocarcinoma diagnosis. The histological report of the first surgery revealed atypical endometriosis within the intestine.
Discussion: The most common extragonadal sites associated with endometriosis and cancer are the pelvic peritoneum, rectovaginal septum, vagina and colorectal serosa. Among the intestinal tumor sites associated with endometriosis, the rectosigmoid colon is the most common site.

Keywords

Carcinoma; Endometrioid; Endometriosis; Infertility

Cite the article

Neto JN, Pinto LEV, Schiavini KLM, Vieira CO, Ribeiro KHM, de Melo GSF, et al. Endometrioid Adenocarcinoma after Atypical Rectosigmoid Endometriosis – A Case Report. Clin Surg. 2024; 9: 3721..