title: Primary endometrioid adenocarcinoma with coexisting endometrial tuberculosis. A case report.
abstract: BACKGROUND
  The most important cause of postmenopausal bleeding is endometrial cancer, whereas genital tuberculosis is uncommon in this age group. The association of these two disorders is extremely rare.
  
  
  METHODS
  Endometrial curettings performed on a 63-year-old woman with a bloody vaginal discharge and thickened endometrium disclosed complex atypical hyperplasia and granulomatous inflammation with caseation necrosis. The uterus contained a well-differentiated endometrial adenocarcinoma with squamous differentiation invading about one-half the myometrial thickness and granulomatous inflammation with caseation necrosis. The lymph nodes were free of disease.
  
  
  CONCLUSIONS
  Although the coexistence of endometrial cancer and tuberculosis is extremely rare, it may occur in patients who live in the regions with a high prevalence of tuberculosis.
authors.affiliation: Departments of Obstetrics and Gynecology and of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey. saygiliu@hotmail.com
authors.forename: Uğur
authors.initials: U
authors.lastname: Saygili
authors.forename: Serkan
authors.initials: S
authors.lastname: Guclu
authors.forename: Sabahattin
authors.initials: S
authors.lastname: Altunyurt
authors.forename: Meral
authors.initials: M
authors.lastname: Koyuncuoglu
authors.forename: Ata
authors.initials: A
authors.lastname: Onvural
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000473:pathology*; D016889:Endometrial Neoplasms / Q000150:complications* / Q000473:pathology*; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014384:Tuberculosis, Female Genital / Q000150:complications* / Q000473:pathology*