title: Endometrial Adenocarcinoma Presenting as Hematometra with Underlying Thickened Endometrial Lining in a Postmenopausal Woman - A Case Report.
abstract: BACKGROUND
  Although most postmenopausal women diagnosed with endometrial cancer usually present with vaginal bleeding, when complete cervical stenosis is present, this sign may be missing. In these cases, the patient usually complaints for pelvic or abdominal pain while the transvaginal ultrasonography might reveal the presence of an intrauterine fluid collection in association with a thickened endometrial lining.
  
  
  METHODS
  We present the case of a 65-year-old patient who presented with association of pelvic pain, enlarged uterine cavity with an underlying hematometra and an irregular, thickened endometrium who was submitted to surgery for total histerectomy, bilateral adnexectomy, pelvic and para-aortic lymph node dissection.
  
  
  CONCLUSIONS
  Histopathological studies revealed the presence of a well-differentiated endometrial adenocarcinoma. At three years of follow-up, the patient is free of any recurrent disease.
authors.affiliation: "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania nicolae_bacalbasa@yahoo.ro.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Bacalbasa
authors.affiliation: "Ponderas" Hospital, Bucharest, Romania.
authors.forename: Irina
authors.initials: I
authors.lastname: Balescu
authors.affiliation: "Alfred Rusescu" Institute for Mother and Child Care, Bucharest, Romania.
authors.forename: Ioana
authors.initials: I
authors.lastname: Dragan
authors.affiliation: "Alfred Rusescu" Institute for Mother and Child Care, Bucharest, Romania.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Banceanu
authors.affiliation: "Alfred Rusescu" Institute for Mother and Child Care, Bucharest, Romania.
authors.forename: Ioan
authors.initials: I
authors.lastname: Suciu
authors.affiliation: "Alfred Rusescu" Institute for Mother and Child Care, Bucharest, Romania.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Suciu
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000368:Aged; D002454:Cell Differentiation; D002584:Cervix Uteri / Q000293:injuries; D019092:Conization / Q000009:adverse effects; D003251:Constriction, Pathologic / Q000209:etiology; D016889:Endometrial Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D004717:Endometrium / Q000254:growth & development / Q000473:pathology; D005260:Female; D013509:Gynecologic Surgical Procedures; D006409:Hematometra / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D016609:Neoplasms, Second Primary / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D017698:Postmenopause; D011183:Postoperative Complications / Q000209:etiology; D012074:Remission Induction; D014463:Ultrasonography; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D002578:Uterine Cervical Dysplasia / Q000601:surgery
keywords: Endometrial adenocarcinoma; hematometra; postmenopausal women