Uterine adenosarcoma associated to lymphovascular emboli: a case report.
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.
Sakr
Rita
R
Department of Gynecology, Hôpital Armand-Trousseau, 75012 Paris, France and 2Department of Pathology, Hôpital Tenon, 75020 Paris, France. rita.sakr@trs.aphp.fr
Marzouk
Paul
P
Bricou
Alexandre
A
Demaria
Fabien
F
Cortez
Annie
A
Benifla
Jean-Louis
JL