Endometrial carcinoma presenting as hematometra: clinicopathological study of a rare case and literature review.
A case of a postmenopausal woman who was investigated for a large cystic peritoneal tumor which turned out to be hematometra is presented. From her clinical history, a wide excision of the uterine cervix was reported due to a high-grade intraepithelial squamous neoplasia. Laparotomy showed a greatly enlarged uterus and the histological exam revealed a hematometra with a superficial endometrioid adenocarcinoma of the uterine cavity. The remaining cervix had extensive fibrosis and complete obliteration of the cervical canal. A review of the literature revealed that hematometra in postmenopausal women should be investigated because it may harbor a cancer.
Salakos
N
N
2nd Department of Obstetrics and Gynecology, Aretaieion University Hospital, Medical School, University of Athens, Greece.
Bakalianou
K
K
Deligeoroglou
E
E
Kondi-Pafiti
A
A
Papadias
K
K
Creatsas
G
G
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D000368:Aged; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006409:Hematometra / Q000175:diagnosis; D006801:Humans; D009367:Neoplasm Staging; D017698:Postmenopause; D016896:Treatment Outcome; D014463:Ultrasonography