J Menopausal Med.  2018 Aug;24(2):133-137. 10.6118/jmm.2018.24.2.133.

Multiple Synchronous Lesions in the Genital Tract of a Female: A Rare Combination with Unrelated Histogenesis

• Jayalakshmy PS
• Kulath FK
• Parambil A
• Sideeque N

• KMID: 2419623
• DOI: http://doi.org/10.6118/jmm.2018.24.2.133

Abstract

Presenting a case of endometrioid adenocarcinoma of the endometrium, benign cystic teratoma of one ovary, fibrothecoma in the other ovary and adenomyosis in the uterus. Such a combination of synchronous lesion is very rare and is not reported in the English medical literature.

Keyword

Adenomyosis; Benign cystic teratoma; Endometrial carcinoma; Fibrothecoma; Synchronous

MeSH Terms

Adenomyosis
Carcinoma, Endometrioid
Endometrial Neoplasms
Endometrium
Female*
Humans
Ovary
Teratoma
Uterus

Figure

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  Fig. 1 Cut section of the specimen.

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  Fig. 2 (A) Microphotograph of endometrial carcinoma (hematoxylin and eosin stain [H & E], ×100 magnification). (B) Microphotograph of endometrial carcinoma (H & E, ×400 magnification).

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  Fig. 3 Foci of adenomyosis (hematoxylin and eosin stain [H & E], ×100 magnification).

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  Fig. 4 (A) Benign cystic teratomaectodermal tissue (hematoxylin and eosin stain [H & E], ×400 magnification). (B) Benign cystic teratoma-mesodermal and endodermal tissue (H & E, ×400 magnification).

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  Fig. 5 (A) Fibrothecoma with ovarian tissue in the periphery (hematoxylin and eosin stain [H & E], ×100 magnification). (B) Fibrothecomafibroma component (H & E, ×400 magnification). (C) Fibrothecoma-theca cell component (H & E, ×400 magnification).

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