A case of cervical adenocarcinoma arising from endometriosis in the absence of human papilloma virus infection

J Obstet Gynaecol Res. 2020 Mar;46(3):536-541. doi: 10.1111/jog.14181. Epub 2019 Dec 27.

Abstract

Endometriosis-related cervical neoplasms are rare, and their clinicopathological features and association with human papilloma virus infection are unclear. A postmenopausal woman with recently diagnosed cervical adenocarcinoma was referred to our hospital. After further investigation, we suspected a stage IIB neoplasm that originated from endometriosis of the cervix or left parametrium. A radical hysterectomy was performed, and pathological examination confirmed a stage IIB cervical endometrioid carcinoma arising from the endometriosis in the cervix to the left parametrium that invaded the cervix; human papilloma virus infection of tumor cells was not detected. Endometriosis-related neoplasms can occur in the cervix or parametrium and present as cervical cancer. The neoplasm described here was not associated with human papilloma virus infection.

Keywords: cervical adenocarcinoma; endometriosis; endometriosis-related neoplasm; human papilloma virus infection; radical hysterectomy.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnostic imaging
  • Adenocarcinoma / etiology*
  • Adenocarcinoma / pathology
  • Endometriosis / complications*
  • Endometriosis / diagnostic imaging
  • Endometriosis / pathology
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Middle Aged
  • Ultrasonography
  • Uterine Cervical Neoplasms / diagnostic imaging
  • Uterine Cervical Neoplasms / etiology*
  • Uterine Cervical Neoplasms / pathology