title: Unusual case of adenomyosis of the uterine body with malignant clinical course.
abstract: We report an unusual case of adenomyosis with asymptomatic thoracic endometriosis. A 30-year old woman had a history of nephroblastoma, two missed abortions and one childbirth by caesarean section. The pregnancy was complicated with asymmetric fetus hipotrophy. Two years after delivery she had assessments for dysmenorrhea, dyspareunia, pelvic pain, and anemia. Gynaecological examination and pelvic endovaginal ultrasonography revealed enlarged uterus. Tumour structure was found with diameter ranging from 40 to 63 mm. The round focus with diameter 15 mm in the left lung by chest roentgenogram was revealed. The patient was diagnosed as follows: hysterography, curettage, bronchoscopy, laparoscopy. Hysterectomy without adnexes was performed and tumour of the left lung was resected. Histologic diagnosis revealed adenomyosis of uterine body and parenchymal pulmonary endometriosis. Two years after operations patient alive without sings of disease.
authors.affiliation: Katedry i Zakładu Anatomii Patologicznej AM, Wrocławiu.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Rabczyński
authors.forename: Marek
authors.initials: M
authors.lastname: Neuberg
authors.forename: Jerzy
authors.initials: J
authors.lastname: Gerber
authors.forename: Michał
authors.initials: M
authors.lastname: Jeleń
authors.forename: Jerzy
authors.initials: J
authors.lastname: Kołodziej
mesh_terms: D000328:Adult; D001999:Bronchoscopy; D003475:Curettage; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy; D008171:Lung Diseases / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D003074:Solitary Pulmonary Nodule / Q000473:pathology / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery