Endometrioid adenocarcinoma within an endometriotic cyst in the mesosalpinx: A case report and review of the literature

Nouf Faisal Alharbi; Mohammed Mubarak Hajla; Tarek Elsharkawy; Ashraf Alharbi; Randa Abdelsayed; Fathia Ebrahim Aljama

doi:10.4103/sjmms.sjmms_249_22

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CASE REPORT

Year : 2023 | Volume : 11 | Issue : 1 | Page : 93-97

Endometrioid adenocarcinoma within an endometriotic cyst in the mesosalpinx: A case report and review of the literature

Nouf Faisal Alharbi¹, Mohammed Mubarak Hajla², Tarek Elsharkawy³, Ashraf Alharbi⁴, Randa Abdelsayed⁵, Fathia Ebrahim Aljama⁵
¹ Department of Pathology, General Directorate of Health Affairs, Dammam, Eastern Province, Kingdom of Saudi Arabia
² Department of Pathology, Dammam Health Network, Dammam, Eastern Province, Kingdom of Saudi Arabia
³ Department of Pathology, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Kingdom of Saudi Arabia
⁴ Department of Internal Medicine, King Faisal Hospital, Makkah, Kingdom of Saudi Arabia
⁵ Department of Obstetrics and Gynecology, Faculty of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Kingdom of Saudi Arabia

Correspondence Address:
Nouf Faisal Alharbi
Department of Pathology, General Directorate of Health Affairs, Eastern Province, 28^th Street, Ghirnatah, Dammam 32245
Kingdom of Saudi Arabia

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/sjmms.sjmms_249_22

Endometriosis-related neoplasms may arise within endometriotic cysts of organs of the female genital tract or other organ systems. Herein, we present a case of endometrioid adenocarcinoma arising within an endometriotic cyst in the mesosalpinx. A 27-year-old single female presented to the clinic with a history of right hypochondrial pain. Pelvic MRI revealed a bulky uterus with three intramural uterine fibroids and a complex cyst in the mesosalpinx. The excised cyst showed predominantly confluent growth of relatively well-defined glands resembling proliferative-phase endometrium in a background of endometriosis. The tumor was diagnosed as endometrioid adenocarcinoma within an endometriotic cyst, pathologic stage pT1a. She was referred to the oncology team, where a positron emission tomography scan showed unremarkable results. Although these neoplasms have been reported in various locations within the female genital tract, endometrioid adenocarcinoma arising from endometriosis in the mesosalpinx is seldom reported.

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