Limbachiya Dipak, Tiwari Rajnish, Padval Rahulkumar, Kumari Rashmi, Trivedi Priti
From the Department of Gynaecological Endoscopy, Eva Women's Hospital, Neelkanth Park 2, Ghoda Camp Road, Shahibaug, Ahmedabad, 380004 India.
Department Gynaecological Endoscopy, Eva Women's Hospital, Neelkanth Park 2, Ghoda Camp Road, Shahibaug, Ahmedabad, 380004 India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):526-529. doi: 10.1007/s13224-024-01944-2. Epub 2024 Feb 19.
Endometriosis-associated neoplasms will develop in 0.7-2.5% of women with endometriosis. We present a rare case report of endometriosis associated endometroid carcinoma of peritoneum. We report a case of 43 years female with chief complaints of menorrhagia, dysmenorrhoea and dyspareunia. Her imaging revealed an endometriotic cyst of in left ovary along with iso to hyperechoic nodular area seen in right iliac fossa. Laparoscopic exploration validated it to be a case of grade IV endometriosis along with presence of peritoneal nodule of 5.5 × 4.5 cm in right iliac fossa. The peritoneal nodular lesion was removed with en bloc wide local excision with clinically disease-free margin. Histopathology report of peritoneal nodule shows endometrioid adenocarcinoma. Complete surgical staging for peritoneal cancer was performed and was not advised any adjuvant therapy. Patient is disease free since last 3 years.
子宫内膜异位症相关肿瘤将在0.7%-2.5%的子宫内膜异位症女性中发生。我们报告一例罕见的子宫内膜异位症相关的腹膜子宫内膜样癌病例。我们报告一名43岁女性,主要症状为月经过多、痛经和性交困难。她的影像学检查显示左卵巢有一个子宫内膜异位囊肿,右髂窝可见等回声至高回声结节区。腹腔镜探查证实这是一例IV级子宫内膜异位症病例,右髂窝有一个5.5×4.5厘米的腹膜结节。通过整块广泛局部切除,将腹膜结节性病变切除,切缘无临床疾病。腹膜结节的组织病理学报告显示为子宫内膜样腺癌。对腹膜癌进行了完整的手术分期,未建议进行任何辅助治疗。患者自过去3年以来无疾病。