| 英文摘要 |
Here is a case report presenting a 53 years old female patient with persisted vaginal bleeding for one month. Clinical examination found a 5.0 cm solid mass complicated with necrosis and bleeding protruding outside the vagina. At first, she received transcervical myomectomy, however the mass lesion recurred in the following year, thus she received transcervical myomectomy again. Transabdominal sonographic examination disclosed progressive thickening of endometrium (27 mm) with echo complex during regular follow up at outpatient department. To rule out the possibility of malignancy, she received endometrium curetting for further work up. With highly suspicious of adenosarcoma in the curetting specimens, simple hysterectomy with bilateral salpingoophorectomy was performed. The final diagnosis of Müllerian adenosarcoma was established. We reviewed the slides of myomectomy specimen, it was difficult to make definitive diagnosis in small curettage specimens initially since the mesenchymal component appeared only subtle atypia. Thus, we would like to discuss the pitfalls and difficulties to diagnose adenosarcoma in endometrium curetting specimens. In addition, the clinical presentation of adenosarcoma will be reviewed to raise awareness among pathologists and physicians of this rare entity. |
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