子宮腺筋症より発生した可能性のある低分化子宮内膜癌の1例

概要

論文の詳細を見る
We report a rare case of poorly differentiated adenocarcinoma which may have arisen from adenomyosis. A 58-year-old woman visited our hospital with complaints of lower abdominal pain and abnormal genital bleeding. A preoperative workup suggested a malignant uterine tumotr, and a total abdominal hysterectomy with bilateral salpingo-oophorectomy and lymph adenectomy were performed. The tumor had invaded the myometrium where adenomyotic glands and cancerous cells co-existed, but no cancerous cells were found in the endometrium. These facts suggest that the cancerous cells may have arisen from adenomyosis. An immunohistochemical analysis revealed poorly differentiated adenocarcinoma. The patient was diagnosed as FIGO III A, and she is currently asymptomatic after 4 courses of postoperative chemotherapy.
社団法人日本産科婦人科学会の論文
2001-06-01