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  • 标题:The multistep process of vaginal cancer arising from deep infiltrating endometriosis: a case report
  • 本地全文:下载
  • 作者:Jee Hyun Kim ; Seung Hun Song ; Gwangil Kim
  • 期刊名称:BMC Women's Health
  • 印刷版ISSN:1472-6874
  • 电子版ISSN:1472-6874
  • 出版年度:2021
  • 卷号:21
  • 期号:1
  • 页码:1-6
  • DOI:10.1186/s12905-021-01410-5
  • 出版社:BioMed Central
  • 摘要:Malignant transformation of endometriosis in extraovarian sites remains rare. Furthermore, the process is not definitely understood. Herein, we report the case of a 40-year-old premenopausal nulligravida woman who presented with vaginal bleeding and who was finally diagnosed with a vaginal cancer originating from endometriosis and with a synchronous endometrial cancer. A gynecologic examination revealed a multiple polypoid mass on the posterior vaginal fornix. Magnetic Resonance Imaging of the pelvis showed two masses abutting respectively on the anterior uterine wall, and in the rectovaginal septum. The patient underwent a total laparoscopic excision of the rectovaginal mass, radical hysterectomy and low anterior resection of the rectum. The lesions were diagnosed as endometriosis, endometriosis-associated complex hyperplasia and endometrioid cancer. Furthermore, a synchronous endometrioid endometrial cancer was reported. This case revealed the multistep process of malignant transformation of deep infiltrating endometriosis. The progression was individualized between implantation sites and in the same organ.
  • 关键词:Deep infiltrating endometriosis ; Vaginal cancer originating from endometriosis ; Synchronous endometrial cancer ; Endometriosis-associated complex hyperplasia ; Endometriosis-associated endometrioid cancer
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