title: Submucous uterine adenosarcoma-minimally invasive treatment.
abstract: BACKGROUND
  Uterine adenosarcomas are rare malignant gynaecological tumours. Due to its submucous localization, they can be easily confound with benign tumours like endometrial polyps or submucous myomas. However, the treatment of uterine adenosarcomas requires an oncologic surgical approach.
  
  
  METHODS
  In the following case report, we present the minimally invasive treatment of a uterine adenosarcoma by hysteroscopy and laparoscopy in a 37-year-old patient and discuss the special role of hysteroscopy in such cases.
  
  
  CONCLUSIONS
  In case of unknown or suspect intrauterine tumours, a diagnostic and operative hysteroscopy with biopsy could be realized prior to laparoscopic hysterectomy especially when the use of a laparoscopic electric morcellation is planned. Thus, a correct oncologic approach can be guaranteed if an adenosarcoma is diagnosed.
  
  
  BACKGROUND
  ISRCTN.
authors: Clinic of Obstetrics and Gynecology, St. Anna Hospital, Herne, Germany. krentel@cegpa.org.
authors: H
authors: H
authors: Krentel
authors: Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Oldenburg, Germany.
authors: R L
authors: RL
authors: De Wilde
mesh_terms: D000199:Actins / Q000378:metabolism; D018195:Adenosarcoma / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001706:Biopsy; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D015907:Hysteroscopy / Q000295:instrumentation / Q000379:methods*; D007633:Keratins / Q000378:metabolism; D009367:Neoplasm Staging; D015260:Neprilysin / Q000378:metabolism; D010052:Ovariectomy; D010053:Ovary / Q000473:pathology; D058994:Salpingectomy; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000378:metabolism / Q000473:pathology / Q000601:surgery*
chemical_list: D000199:Actins; C526516:cytokeratin MNF116, human; D007633:Keratins; D015260:Neprilysin
keywords: Gynaecological oncology; Submucous uterine tumour; Uterine adenosarcoma