Primary endometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis

Primary eneometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis Aims: Three cases of endometrioid adenocarcinoma arising in colorectal endometriosis are described with discussion of their macroscopic and microscopic pathology and diagnosis, using immunohistochemistry....

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Veröffentlicht in:Histopathology 2002-02, Vol.40 (2), p.171-176
Hauptverfasser: Petersen, V C, Underwood, J C E, Wells, M, Shepherd, N A
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container_title Histopathology
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creator Petersen, V C
Underwood, J C E
Wells, M
Shepherd, N A
description Primary eneometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis Aims: Three cases of endometrioid adenocarcinoma arising in colorectal endometriosis are described with discussion of their macroscopic and microscopic pathology and diagnosis, using immunohistochemistry. Methods and results: Three middle‐aged women presented with symptoms and signs of colorectal mass effect. Two had a preceding history of gynaecological endometriosis and all three had either been on hormone replacement therapy or had functioning ovaries prior to presentation with colorectal disease. Each underwent resection of tumours of the distal large intestine. The definitive diagnosis was dependent on histological examination and immunohistochemistry, which was used to demonstrate an origin in endometriotic tissue. Conclusions: Endometrioid adenocarcinoma is a rare complication of colorectal endometriosis, this report contributing to a total of 25 cases in the literature. Definitive diagnosis, aided by immunohistochemical studies, is important to enable the identification of the optimal management for this uncommon condition.
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Methods and results: Three middle‐aged women presented with symptoms and signs of colorectal mass effect. Two had a preceding history of gynaecological endometriosis and all three had either been on hormone replacement therapy or had functioning ovaries prior to presentation with colorectal disease. Each underwent resection of tumours of the distal large intestine. The definitive diagnosis was dependent on histological examination and immunohistochemistry, which was used to demonstrate an origin in endometriotic tissue. Conclusions: Endometrioid adenocarcinoma is a rare complication of colorectal endometriosis, this report contributing to a total of 25 cases in the literature. 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subjects Biological and medical sciences
Biomarkers, Tumor - metabolism
Carcinoma, Endometrioid - etiology
Carcinoma, Endometrioid - metabolism
Carcinoma, Endometrioid - secondary
Cell Nucleus - metabolism
Cell Nucleus - pathology
colon
Colorectal Neoplasms - etiology
Colorectal Neoplasms - metabolism
Colorectal Neoplasms - pathology
endometrioid adenocarcinoma
endometriosis
Endometriosis - complications
Endometriosis - metabolism
Endometriosis - pathology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Immunohistochemistry
Medical sciences
Middle Aged
rectum
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
title Primary endometrioid adenocarcinoma of the large intestine arising in colorectal endometriosis
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