Uterine adenosarcoma metastasizing to the retroperitoneum. The impact of vascular involvement.
BACKGROUND
There is little knowledge regarding mullerian adenosarcoma and its metastasizing pattern.


OBJECTIVE
Our objective was to evaluate the impact on the prognostic of the patient brought by tumor metastasizing to the retroperitoneum, to analyze the particularities of the treatment in such cases and to bring a significant change in the early therapeutic attitude to mullerian adenosarcomas.


RESULTS
We present a first case report of a hypervascularized retroperitoneal metastasis from an initial low-grade uterine adenosarcoma. The presence of such a metastasis brought the worst prognostic factor to the patient.


CONCLUSIONS
We consider that in front of a macroscopic polypoid mass there should be an active change in the diagnosis and in the therapeutic attitude. The frequent confusion between similar histopathological entities with different aggressiveness states and specific treatment responses, the poor outcome at advanced tumor stages, frequently in young patients, should trigger a universal remodeling in approaching these tumors.
First Surgical Clinic, Prof. Dr. Al. Trestioreanu Institute of Oncology, Carol Davila University of Medicine and Pharmacy, Bucharest.
R I
RI
Lazar
T
T
Straja
B
B
Bratucu
D018195:Adenosarcoma / Q000473:pathology*; D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D012186:Retroperitoneal Neoplasms / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000556:secondary*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000473:pathology*