Palla Viktoria-Varvara, Karaolanis Georgios, Bliona Theodora, Katafigiotis Ioannis, Anastasiou Ioannis, Hassiakos Demetrios
Faculty of Medicine, Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens, Athens, Greece.
Faculty of Medicine, Vascular Unit, 1st Department of Surgery, Natinal and Kapodistrian University of Athens, Athens, Greece.
SAGE Open Med Case Rep. 2017 Dec 5;5:2050313X17745204. doi: 10.1177/2050313X17745204. eCollection 2017.
Endometriosis-associated intestinal tumors represent the malignant transformation of gastrointestinal endometriosis. Approximately 50 cases have been reported in the literature. They are most commonly found among women aged 30-60 years, whereas exogenous hormone therapy and obesity are primary risk factors for the malignant transformation of endometriotic lesions. Clinical features simulate a primary colonic carcinoma. A high index of suspicion in conjunction with careful histological and immunohistochemical examination (CK7, CK20, CDX2, CD10, ER, and PR) is important for establishing a correct diagnosis. In this article, a rare case of a postmenopausal woman with no risk factors and conflicting clinical presentation, diagnosed with endometriosis-associated intestinal tumor, is described.
子宫内膜异位症相关肠道肿瘤是胃肠道子宫内膜异位症的恶性转化。文献中已报道约50例。它们最常见于30至60岁的女性，而外源性激素治疗和肥胖是子宫内膜异位病变恶性转化的主要危险因素。临床特征类似原发性结肠癌。高度怀疑并结合仔细的组织学和免疫组化检查（CK7、CK20、CDX2、CD10、ER和PR）对于做出正确诊断很重要。本文描述了一例罕见的绝经后女性病例，该患者无危险因素且临床表现相互矛盾，被诊断为子宫内膜异位症相关肠道肿瘤。
