title: Uterine adenosarcoma associated to lymphovascular emboli: a case report.
abstract: BACKGROUND
  Uterine adenosarcoma is a rarely observed polypoid tumor with a mixed benign epithelial element and malignant stromal component. The treatment is total hysterectomy with bilateral salpingo-oophorectomy. It could be difficult to diagnose and associated to lymphovascular invasion.
  
  
  METHODS
  A 45-year-old caucasian uniparous woman presented with uterine bleeding. She had several surgical procedures and pathology of removed recurrent polyps showed no malignancy. Finally, a total abdominal hysterectomy was performed because of atypical cells and suspected uterine adenosarcoma. The hysterectomy specimen confirmed the presence of uterine adenosarcoma associated with lymphatic and vascular tumor emboli. Surgery was completed with a second bilateral salpingo-oophorectomy and pelvic lymphadenectomy.
  
  
  CONCLUSIONS
  In our report, we present a case of uterine adenosarcoma which was diagnosed after multiple surgical procedures and associated to lymphovascular emboli known to have a significant impact on overall survival and distant metastasis-free survival.
authors.affiliation: Department of Gynecology, Hôpital Armand-Trousseau, 75012 Paris, France and 2Department of Pathology, Hôpital Tenon, 75020 Paris, France. rita.sakr@trs.aphp.fr
authors.forename: Rita
authors.initials: R
authors.lastname: Sakr
authors.forename: Paul
authors.initials: P
authors.lastname: Marzouk
authors.forename: Alexandre
authors.initials: A
authors.lastname: Bricou
authors.forename: Fabien
authors.initials: F
authors.lastname: Demaria
authors.forename: Annie
authors.initials: A
authors.lastname: Cortez
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Benifla